Supervised Group Living Certification

A residential facility that provides a therapeutic environment in a home-like setting to persons with a psychiatric disorder or addiction who need the benefits of a group living arrangement as a post-psychiatric hospitalization intervention or as an alternative to hospitalization. Each SGL location must be added to the program’s accreditation within twelve (12) months of obtaining certification. Each SGL location must be compliant with criteria in 440 IAC 7.5

Completing the application in the DMHA Provider Portal, you will be asked to provide the following information via rich text:

Policies and procedures for applications in DMHA Provider Portal (Note: these are required to be entered as rich text)
- Admission criteria
- Discharge criteria
- List of waivers
- Program description, which must include but not be limited to the following:
  - The facility philosophy and treatment orientation
  - Resident population to be served
  - Services offered by the program
  - Program goals and services, including staffing assignments to accomplish these goal
  - Community resources that will be utilized to meet the resident’s needs
    - Include a description of the facility and its location, along with the ability of the community to provide necessary supportive services such as:
      - fire protection
      - medical service
      - access to recreational facilities, shopping and transportation
  - Provision of the following:
    - 24 hour supervision
    - Services provided under the supervision of a physician licensed to practice medicine in Indiana
    - Sufficient staffing: consumer ratios to carry out treatment plans and provide consumer and staff safety
    - Admission Criteria
    - Transfer Criteria
    - Discharge Criteria
  - Documents that should be uploaded in the application in the DMHA Provider Portal:
    - Detailed floor plan with marked square footage of each consumer bedroom and labeled beds, bathrooms, toilets, and tubs/showers. This should be uploaded in the application via DMHA Provider Portal.
    - A signed statement from the CEO that this Supervised Group Living Home is located more than 1000 feet from another Division licensed supervised group living home. This should be uploaded via the DMHA Provider Portal.
    - Department of Homeland Security Construction Design Release or exemption paperwork. Visit the plan review site to file a construction design review. Should you have any questions along the way, email planreview@dhs.in.gov or call 317-232-6422. Once your Construction Design Review has been approved and you have all of the furnishings and staff in the building, DMHA can trigger an “occupancy inspection” to Department of Homeland Security.
    - Paperwork from the local zoning authority to occupy and operate a supervised group living facility. Local zoning includes city or county authorities; all zoning inquiries and submissions are handled by the provider. DMHA needs documentation from the local authority to confirm your facility is properly zoned to operate. (If the facility is in Marion county, a specific affidavit of application must be completed and submitted to the Indianapolis Department of Business & Neighborhood Services)
    - If the facility utilizes a septic system, submit the Septic System Approval documentation. Please visit https://www.in.gov/isdh/23283.htm for more information. Should you have any questions, please contact Marc Hancock mhancock@isdh.in.gov or call 317-233-7186.
    - Contact Information for State Fire Marshal Occupancy Inspection Request (name, phone number and email address of the person meeting with a Fire Marshal)
      - DMHA will schedule this inspection with the Department of Homeland Security State Fire Marshal team

Note: The work with Department of Homeland Security, Zoning, Indiana State Department of health, and DMHA can be done in tandem. Additionally, you cannot have residents in your facility until you have received your supervised group living certification from DMHA.