What your regulator actually wrote, in seven states.
Behavioral health, IDD and substance use providers do not operate under one rulebook. They operate under whichever one their state wrote, and it changed this year. Every quote below is verbatim from the agency document. Every figure links to its source.
Seven states, seven rulebooks
We read the provider manuals, the administrative code, the licensing memos and the budget documents so operators do not have to. Each brief names the rule, quotes it, dates it, and links to the primary source.
North Carolina
A 120 day certification clock that restarts with every hire, against 30 percent DSP turnover.
Georgia
A provider manual that changes quarterly and says in writing that you cannot exempt yourself from it.
South Carolina
Three agencies merged into one and every contract, regulation and policy came along intact.
Tennessee
New registry and job description rules effective May 25, 2026, against 48 percent caregiver turnover.
Virginia
A proctored state exam before your application is even reviewed, and 1,899 human rights citations last year.
Florida
Level 2 screening for every employee, awake paid staff around the clock, and 239 shortage areas.
Alabama
Turnover above 100 percent, and a provider manual that lists staffing failure as a decertification ground.
Most HR firms discover your rulebook on the engagement
We publish ours before the first call. If a brief tells you something about your own state you did not know, that is the point. If it does not, you now have the citations for your board packet.
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