- RAS II is an advanced Breining Institute credential, not a separate exam - existing RAS holders never retake the ACE.
- RAS II eligibility runs through three routes: AA degree plus 3 years, 450 education hours plus 5 years, or 7 years plus 155 education hours.
- The ACE plus RAS application totals USD 250, with no ongoing membership dues.
- ACE is delivered online from your own device; you must request it, submit a current photo, and sit it within one month.
What Is RAS II Certification?
RAS II - Advanced Registered Addiction Specialist Level II - is a credential issued by the Breining Institute on the Registered Addiction Specialist (RAS) career track. It sits above the entry-level RAS designation and is meant for practitioners who already hold significant clinical experience and formal alcohol-and-other-drug (AOD) education. A common point of confusion is the phrase "Level II" itself: RAS II is not a separate proctored examination that stacks on top of the entry-level test. Candidates who already hold RAS status and later qualify for RAS II do not retake the qualifying exam again.
The qualifying examination on the entire RAS career track is the Addiction Counselor Exam (ACE). Whether someone is pursuing entry-level RAS or has already accumulated the experience and education needed for RAS II, the ACE is the exam that establishes competency across the addiction-counseling knowledge base. If you're building a study plan around this exam, the RAS II Study Guide 2026: How to Pass on Your First Attempt walks through a first-attempt approach in more depth than we can cover here.
Who Issues RAS II and Who It's For
The Breining Institute administers the RAS career track, including RAS, RAS II, and the ACE itself. Because RAS II is an advanced designation rather than a stand-alone license, applicants must already hold an underlying recognized healthcare-professional license or certification before they can be considered. This makes RAS II a credential aimed squarely at working clinicians - counselors, case managers, and other licensed professionals - who want a formal, portable marker of advanced addiction-counseling competency layered on top of a license they already hold.
If you're still deciding whether this credential fits your career trajectory, it's worth reading through Is the RAS II Certification Worth It? Complete ROI Analysis 2026 before investing time in the eligibility paperwork.
RAS II Eligibility Routes
Entry-level RAS requires 155 formal AOD education hours plus one year (2,000 hours) of documented clinical experience. RAS II eligibility is built on top of that foundation but scales the experience and education requirements upward. Breining recognizes three separate routes into RAS II, and applicants only need to satisfy one:
- Route 1 - Degree Path: An AA degree in the healing arts or sciences plus three years of clinical experience.
- Route 2 - Education-Heavy Path: 450 formal AOD education hours plus five years of clinical experience.
- Route 3 - Experience-Heavy Path: Seven years of clinical experience plus at least 155 formal AOD education hours.
In every route, clinical experience must be documented - informal or unverifiable hours will not count toward the eligibility calculation. For a fuller breakdown of how these routes compare and which documentation Breining expects, see RAS II Requirements 2026: Eligibility, Prerequisites & How to Qualify.
Key Takeaway
Pick whichever route matches your existing paperwork trail first - degree transcripts, employer verification letters, or supervised-hours logs - rather than trying to build a hybrid case across routes.
The ACE Exam: Format and Delivery
The Addiction Counselor Exam is delivered online, and candidates can sit it from their own device rather than traveling to a fixed test center. That flexibility comes with a few procedural requirements that candidates frequently overlook:
- The exam request requires a current candidate photo submitted as part of scheduling.
- Once requested, the exam must be taken within one month.
- Rescheduling requires at least 24 hours' notice - last-minute changes outside that window can jeopardize your request.
Because the ACE is the same qualifying exam used across the RAS career track, its structure and content areas are consistent whether a candidate is aiming for entry-level RAS or has already met RAS II eligibility. For a deeper look at how difficult the exam actually feels in practice, see How Hard Is the RAS II Exam? Complete Difficulty Guide 2026, and for what score you actually need, check RAS II Passing Score 2026: Exactly What You Need to Pass.
The 32 ACE Content Domains
The ACE draws its content-area structure directly from 32 domain headings that Breining publishes for the exam. These aren't abstract categories - they reflect the day-to-day scope of addiction-counseling practice, from historical context through clinical technique to ethics. A full breakdown of every domain lives at RAS II Exam Domains 2026: Complete Guide to All 32 Content Areas, but a few deserve special attention when you're building a study sequence.
Domain 10: Physiology and Pharmacology of Addiction / Co-occurring Disorders / PTSD
Candidates need working knowledge of how substances act physiologically, how co-occurring mental-health conditions interact with addiction, and how trauma presentations complicate treatment planning.
- Mechanisms of common substance classes
- Interaction between PTSD symptoms and relapse risk
Domain 19: Dual Diagnosis
This domain overlaps with Domain 10 but focuses specifically on assessment and treatment sequencing when a client presents with both a substance use disorder and a separate psychiatric diagnosis.
- Integrated versus sequential treatment models
- Screening tools for co-occurring presentations
Domain 30: Laws, Ethics and Confidentiality
Because RAS II candidates already hold an underlying professional license, this domain tests whether counseling-specific confidentiality and ethical standards are layered correctly on top of existing licensure obligations.
- Confidentiality boundaries specific to addiction treatment records
- Ethical decision-making in dual-relationship scenarios
Other domains worth deliberate review time include Domain 16 (Gambling Disorders), Domain 17 (Sexual Addiction), and Domain 14 (Smoking and Nicotine Addictions) - process and behavioral addictions that are easy to under-study if you assume the exam only covers alcohol and drugs. Domains 20 through 29 (Role and Responsibility of the Counselor through Assertiveness for the Counselor) shift from clinical content to counselor practice, self-care, and professional development, which candidates coming from a purely clinical background sometimes underestimate.
Fees, Application, and Renewal
Cost mechanics on the RAS career track are straightforward and involve no ongoing membership dues:
| Item | Cost |
|---|---|
| ACE exam fee | USD 175 |
| RAS application fee | USD 75 |
| Total to sit the exam and apply | USD 250 |
| On-time renewal (every 2 years) | USD 275 |
| Renewal with qualifying CE discount | USD 225 |
Renewal is required every two years and depends on completing 30 continuing-education hours. Candidates who qualify for RAS II during a renewal cycle are not charged an additional upgrade fee - the upgrade is absorbed into the standard renewal process. For a line-by-line breakdown of every fee scenario, including how the CE discount interacts with renewal timing, see RAS II Certification Cost 2026: Complete Pricing Breakdown.
Mapping a Study Plan to the Domains
Official Breining preparation materials include The Addiction Professional, fourth edition (2022), TAP 21, The MAT Counselor, and Breining's own tutorial videos. Because these materials are periodically updated, it's worth checking the edition-update notes that accompany the tutorials before you finalize a reading order - a stale edition can leave gaps in newer content-area language.
A simple way to sequence 32 domains without burning out is to cluster related domains into weekly blocks rather than studying them in numerical order. Group the historical and structural domains early, clinical/physiological domains in the middle, and counselor-practice domains near the end, closest to your exam date, since that content tends to be more intuitive for working clinicians.
Foundations
- Domain 1: History and Overview
- Domain 2: Programs and Approaches
- Domain 6: Community Prevention and Education
Clinical Science
- Domain 10: Physiology and Pharmacology
- Domain 11: Illicit Drug Use and Abuse
- Domain 19: Dual Diagnosis
Special Populations and Process Addictions
- Domain 5: Cultural and Lifestyle Differences
- Domain 16: Gambling Disorders
- Domain 17: Sexual Addiction
Counselor Practice and Ethics
- Domain 25 & 26: Personal and Professional Growth
- Domain 30: Laws, Ethics and Confidentiality
- Domain 32: Standards for Counselor Competency
Spaced repetition on domain-specific flashcards works well here precisely because the exam spans 32 discrete headings - reviewing Domain 10 terminology again in week 3, for instance, keeps physiology vocabulary fresh even after you've moved on to other content. Running full-length practice sessions on a dedicated practice test platform toward the end of your timeline is one of the fastest ways to see which of the 32 domains still need attention before you request your ACE date.
Who Hires RAS II Credential Holders
Because RAS II requires an underlying healthcare-professional license, credential holders typically already work in settings like outpatient addiction clinics, hospital behavioral-health units, EAP-affiliated counseling programs, and residential treatment centers. The credential functions as a documented, third-party-verified marker of advanced competency across addiction counseling's full scope - useful for internal promotion cases, contract negotiations, or moving into supervisory counseling roles. For a broader look at where RAS II holders tend to land and how the credential factors into hiring conversations, see RAS II Jobs and RAS II Salary Guide 2026: Complete Earnings Analysis.
If your organization is trying to distinguish RAS II from other credentials in the addiction-counseling space, it helps to start from the basics: What Is RAS II? and RAS II Meaning both cover the terminology from the ground up.
Frequently Asked Questions
No. RAS II is an advanced standing on the same career track, not a separate exam. Existing RAS holders who meet one of the RAS II eligibility routes upgrade without sitting the ACE again.
The ACE exam fee is USD 175 and the RAS application fee is USD 75, for a total of USD 250. There are no ongoing membership dues on top of that.
You must take the exam within one month of requesting it. If you need to reschedule, Breining requires at least 24 hours' notice.
Choose based on whichever documentation you already have: an AA degree in the healing arts/sciences plus 3 years of clinical experience, 450 education hours plus 5 years, or 7 years of experience plus at least 155 education hours.
Renewal is required every two years and requires 30 continuing-education hours. On-time renewal costs USD 275, or USD 225 if you qualify for the continuing-education discount. Upgrading to RAS II during a renewal cycle carries no extra upgrade fee.