Illinois Modernizes Rule 2060: What SUD Providers Need to Know
- jameliahand
- 6 days ago
- 3 min read
Updated: 3 days ago
By Jamelia Hand MHS CADC CODP I
On April 2, 2025, a long-awaited update to the Illinois Administrative Code Part 2060, the foundational regulatory framework for Substance Use Disorder (SUD) treatment providers, was officially adopted by the Illinois Department of Human Services Division of Substance Use Prevention and Recovery (SUPR). This update, years in the making, reflects input from providers across the state and aims to modernize regulations to better reflect today’s clinical realities and workforce challenges.
The revised Title 77, Chapter I, Subchapter d, Part 2060 introduces regulatory changes that will shape how licensed SUD organizations operate, document, and deliver care in Illinois, effective July 1, 2025. Here’s what providers need to know:
Key Changes in the New Rule 2060
1. Modernized Language and Standards
The rule replaces outdated and stigmatizing terminology and integrates current best practices. It incorporates the 4th Edition of the ASAM Criteria, a national standard for clinical decision-making in SUD treatment.
What this means:
Providers must ensure that clinical programming, staffing, and documentation align with ASAM 4th edition. While some state rule components may not yet align perfectly with ASAM, the rule currently takes precedence, and interpretive guidance is forthcoming.
2. Eliminated Annual TB Testing Requirement
Annual tuberculosis testing for staff is no longer required, unless a facility’s annual risk assessment (aligned with CDC guidelines) determines it is necessary. A baseline TB test is still required at hire.
Implication for Providers:
Reduced administrative burden and cost, but increased responsibility to ensure thorough, documented annual TB risk assessments.
3. Expanded Medical Director Qualifications
Physician Extender exceptions are no longer necessary. The updated rule allows Medical Directors to be licensed physicians, advanced practice registered nurses (APRNs), or physician assistants depending on the level of care provided.
Implication for Providers:
Greater staffing flexibility, especially valuable for rural or under-resourced organizations.
4. Relaxed Off-Site Service Requirements
Outpatient, DUI, and designated services may now be provided off-site without a separate license if they do not exceed 15 staff hours per week at that location.
Implication for Providers:
More freedom to expand access and meet patients where they are, without extensive licensure hurdles.
5. No More Application Fees (in most cases)
Application fees are waived, unless specified otherwise for corrective action or non-routine changes.
6. Continued Staff Certification Flexibility
SUPR will still allow time-limited exceptions for staff working toward required credentials, offering leeway for organizations amid workforce shortages.
Updated DUI Evaluation Guidelines
A new risk classification structure for DUI evaluations is now in effect. Risk levels (Minimal, Moderate, Significant, High) are determined by a combination of legal history, BAC levels, and symptoms of SUD.
SUPR issued transitional Q&A guidance for:
Evaluations performed under the old rule
Classification discrepancies in eDSRS
Update processes for previously completed reports
What Providers Should Do Next:
Review the Full Rule: https://www.ilga.gov/commission/jcar/admincode/077/07702060sections.html
Train Your Team: SUPR will offer trainings aligned with ASAM 4th edition. Vantage also offers training and technical assistance. Take full advantage.
Update Policies: Revise internal policies, job descriptions, clinical workflows, and evaluation tools to align with the new requirements.
Document Risk Assessments: Especially for TB screening decisions, ensure proper documentation for compliance.
Monitor Interpretive Guidance: Stay connected with SUPR’s upcoming FAQ page and helpdesk for clarifications.
Final Thoughts from Vantage Clinical Consulting LLC
The updated Part 2060 is a welcome change designed to reduce administrative burden, support a diverse workforce, and modernize Illinois SUD care. But transitions like these take time, effort, and guidance.
Let Vantage help. Whether you’re updating compliance materials, training your workforce, or aligning your care model with ASAM 4th edition we’re here to support your team.
Contact us today to schedule a policy review or staff training.
Vantage Clinical Consulting | Supporting Providers. Empowering Recovery.
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