Substance use

What is substance use disorder?

The Diagnostic and Statistical Manual defines “substance use disorder” as the use of alcohol and/or drugs causing clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school or home.

Contact MNPrairie’s substance use intake to inquire about setting up a Rule 25, comprehensive assessment, treatment coordination services, or for any other questions you may have if you are a Dodge, Steele, or Waseca County resident. 

Substance Use (SU) services are available to MNPrairie county residents who have concerns about their substance use and meet the eligibility guidelines, or have been referred by the court for services.

Assessment services can be obtained within the MNPrairie offices and also from a variety of healthcare and licensed substance use treatment providers.

Services Include:

  • Substance Use Assessments, commonly referred to as Rule 25 assessments
  • Comprehensive Assessments
  • Detoxification/Withdrawal Management

Referral for Rule 31 substance use treatment programs for residential and non-residential treatment services, supportive housing, treatment coordination, and drug courts.

Treatment Coordination Services include:

  • Assistance in coordination with significant others to help in the treatment planning process whenever possible;
  • Facilitation of referrals to mental health services as identified by a client's comprehensive assessment or treatment plan;
  • Facilitation of referrals to mental health services as identified by a client's comprehensive assessment or treatment plan;
  • Assistance with referrals to economic assistance, social services, housing resources, and prenatal care according to the client's needs;
  • Life skills advocacy and support accessing treatment follow-up, disease management, and education services including referral and linkages to long-term services and supports as needed

Private insurance may not cover all or some chemical health services. Services may be paid for with public funding if the recipient is financially eligible. Charges related to detoxification services will be charged to the recipient based on the information provided through the income verification material submitted. This includes minors, who almost always are eligible if they have private or no insurance. I f an individual does not meet the requirements for MNPrairie SU assessment, they will be referred to the appropriate service. The assessment process is governed by state law.
There are a number of providers within the MNPrairie region that can provide Rule 25 assessments for individuals.

Substance Use Assessment

Rule 25 (substance use) Assessment

Substance use assessments are completed for people that would otherwise have no means to pay for substance use treatment.  Eligible individuals also meet income guidelines or are on Medicaid fee-for-service programs.

SUD Reform

From July 1, 2018 to June 30, 2022, the State of Minnesota will be reforming the Substance Use Disorder (SUD) treatment system. Changes include moving away from the current “Rule 25 Assessment” to a “Direct Access” approach for obtaining services. The direct access approach will allow individuals to go directly to a treatment provider to receive a comprehensive assessment and initiate treatment services. MNPrairie’s Substance Use Disorder services will be going through several changes as a result of the reform.  

Please continue to re-visit this page or the State of 
Minnesota’s Department of Human Services ADAD webpage for additional changes to services available for substance use disorders.  You can check out the changes and history of the SUD reform here.

SUD Reform changes will focus on a person-centered approach to proving the right level of service at the right time in treating chemical use disorders like other chronic health conditions. Minnesota Department of Human Services has received federal approval to include additional treatment services for individuals who meet the financial eligibility guidelines for Medicaid benefits.  These services include comprehensive assessments, peer support services, withdrawal management, and treatment coordination.

During the SUD reform process, MNPrairie will continue to coordinate Rule 25 assessments for individuals who meet the eligibility requirements.

Other resources

Substance Abuse and Mental Health Services Administration
MN Department of Health Opioid Dashboard
Farm Town Strong
Rural Aids Action Network (RAAN)