Current through all regulations passed and filed through September 16, 2024
(A)
For the purposes
of this chapter, an "eligible billing provider" is an entity that meets the
conditions in paragraph (A)(1) or (A)(2) of this rule. An "eligible rendering
provider" is an individual who meets one or more of the conditions stated in
paragraphs (A)(3) to (A)(8) of this rule and is employed by or under contract
with an eligible billing provider.
(1)
An entity certified by the Ohio department of mental
health and addiction services operating in accordance with sections
5119.35 and
5119.36 of the Revised Code and
Chapters 5122-24 to 5122-29 and Chapter 5160-1 of the Administrative Code and
providing mental health or substance use disorder treatment
services.
(2)
An out-of-state entity furnishing mental health and/or
substance use disorder services and operating in accordance with rule
5160-1-11 of the Administrative
Code.
(3)
Physician or physician assistant in accordance with
agency 4731 and agency 4730 of the Administrative Code, respectively, and
Chapter 5160-4 of the Administrative Code, or a clinical nurse specialist or
certified nurse practitioner, as described in Chapter 4723. of the Revised
Code.
(4)
Registered nurse or licensed practical nurse as defined
in section 4723.01 of the Revised Code and
working under an order authorized by one of the practitioners listed in
paragraph (A)(3) of this rule, except as allowable in accordance with section
4723.01 of the Revised Code or
rule 5160-27-11 of the Administrative
Code.
(5)
A practitioner type described in rule
5160-8-05 of the Administrative
Code.
(6)
An unlicensed practitioner who operates under general
supervision, as described in rule
5160-8-05 of the Administrative
Code, of one of the practitioners listed in paragraphs (D)(1) to (D)(17) of
this rule and meets the requirements for one of the following practitioner
types:
(a)
A
qualified mental health specialist providing mental health services who:
(i)
Meets the
requirements for a qualified behavioral health specialist in accordance with
agency 5122 of the Administrative Code,
(ii)
Holds a valid
high school diploma or equivalent, and
(iii)
Has both work
experience and training related to the service(s) being
provided.
(b)
A care management specialist providing substance use
disorder services who:
(i)
Meets the requirements for a qualified behavioral
health specialist in accordance with agency 5122 of the Administrative
Code,
(ii)
Is eighteen years of age or older and has a high school
diploma or equivalent, and
(iii)
Has an
understanding of substance use disorder treatment and recovery including how to
engage a person in treatment and recovery.
(7)
A
pharmacist operating in accordance with rule
5160-8-52 of the Administrative
Code.
(8)
A certified peer supporter operating in accordance with
rule 5122-29-15.1 of the
Administrative Code.
(B)
All practitioners
will practice within their professional scope of practice.
(C)
Supervisors will
ensure that individuals whom they supervise meet the appropriate education and
training qualifications for the service(s) they render.
(D)
The following
practitioners operating within their scope of practice, licensure, or
certification, and in accordance with any service-specific supervison
requirements may supervise:
(1)
Physician.
(2)
Physician
assistant.
(3)
Certified nurse practitioner.
(4)
Clinical nurse
specialist.
(5)
Psychologist.
(6)
Board licensed
school psychologist.
(7)
Licensed independent social worker.
(8)
Licensed
professional clinical counselor.
(9)
Licensed
independent marriage and family therapist.
(10)
Licensed
independent chemical dependency counselor.
(11)
Registered
nurse.
(12)
Licensed marriage and family therapist.
(13)
Licensed
chemical dependency counselor II.
(14)
Licensed
chemical dependency counselor III.
(15)
Licensed
professional counselor.
(16)
Licensed social worker.
(17)
Certified peer
supporter as defined in rule
5122-29-15.1 of the
Administrative Code.
Replaces: 5160-27-01
