Mississippi Administrative Code
Title 24 - Mental Health
Part 3 - Mississippi Department of Mental Health (DMH) Division of Professional Licensure and Certification (PLACE) Professional Credentialing Rules and Requirements
Chapter 18 - Professional Responsibilities
Rule 24-3-18.6 - Reporting Changes in Vital Information
Universal Citation: MS Code of Rules 24-3-18.6
Current through September 24, 2024
A. DMH-credentialed individuals and DMH Licensed Administrator Program Participants are required to notify the Division within 14 working days of a change in legal name, address or employment.
B. Name Change
1. Each credentialed individual should ensure
that his/her current wall certificate bears his/her current legal name. An
individual whose legal name has changed is expected to request a new
certificate reflecting the new name. Once the new certificate is generated, the
previous certificate is invalid.
2. To request a name change, the individual
should submit a written/email request for a name change, along with a copy of
legal documentation of the name change and payment of the name change fee. The
request should indicate the new name as it should appear on the replacement
certificate. Name changes reported at the time of an upgrade application
do not have to be accompanied by a request, a copy of the legal documentation
or the name change fee; this exemption does not apply to renewal
applications.
3. Only
individuals in good standing who are currently employed in the state mental
health system (or in Inactive Status) may request a
replacement certificate.
C. Address Change
An individual whose email address, mailing address and/or telephone number has changed is expected to contact the Division with the new information.
D. Employment Change
1.
Upon
separation of the credentialed individual from state mental health system
employment, the individual's DMH professional credential will become
null and void unless he/she provides notification of reemployment in the state
mental health system or requests and receives an appropriate credential status
change according to the procedures established by the Division, as covered in
the "Separation from State Mental Health System Employment" section below.
2. Notification of a change in
place of employment (not job title) must be submitted in writing/email to the
Division of PLACE by either the credentialed individual/DMH Licensed
Administrator "Program Participant" OR the place of employment from which the
individual is separating.
3. An
individual who is either leaving state mental health system employment or
changing to a new state mental health system program should follow the
requirements under "Separation from State Mental Health System Employment"
below.
Section 41-4-7 of the Mississippi Code of 1972, Annotated
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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