Current through Vol. 42, No. 1, September 16, 2024
(a)
Licensed behavioral health professional (LBHPs). LBHPs are defined
as any of the following practitioners:
(1) An
allopathic or osteopathic physician with a current license and board
certification in psychiatry or board eligible in the state in which services
are provided, or a current resident in psychiatry practicing as described in
OAC 317:30-5-2.
(2) A practitioner with a current license to
practice in the state in which services are provided, within one (1) of the
areas of practice listed in (A) through (F). The exemptions from licensure
under 59 O.S. § 1353(4) and (5), 59 O.S. § 1903(C) and (D), 59 O.S.
§ 1925.3(B) and (C), and 59 O.S. § 1932(C) and (D) do not apply to
outpatient behavioral health services.
(A)
Psychology;
(B) Social work
(clinical specialty only);
(C)
Professional counselor;
(D)
Marriage and family therapist;
(E)
Behavioral practitioner; or
(F)
Alcohol and drug counselor.
(3) An advanced practice registered nurse
(APRN) certified in a psychiatric mental health specialty, and licensed as a
registered nurse (RN) with a current certification of recognition from the
board of nursing in the state in which services are provided.
(4) A physician assistant who is licensed and
in good standing in the state in which services are provided and has received
specific training for and is experienced in performing mental health
therapeutic, diagnostic, or counseling functions.
(b)
Licensure candidates.
Licensure candidates are practitioners actively and regularly receiving
board-approved supervision, and extended supervision by a fully licensed
clinician if board's supervision requirement is met but the individual is not
yet licensed, to become licensed by one (1) of the areas of practice listed in
(2)(A) through (F) above. The supervising LBHP responsible for the member's
care must:
(1) Staff the member's case with
the candidate;
(2) Be personally
available, or ensure the availability of an LBHP to the licensure candidate for
consultation while they are providing services;
(3) Agree with the current plan for the
member;
(4) Confirm that the
service provided by the candidate was appropriate; and
(5) The member's medical record must show
that the requirements for reimbursement were met and the LBHP responsible for
the member's care has reviewed, countersigned, and dated the service plan and
any updates thereto so that it is documented that the licensed professional is
responsible for the member's care.
(c)
Certified alcohol and drug
counselors (CADCs). CADCs are defined as having a current certification
as a CADC in the state in which services are provided.
(d)
Multi systemic therapy (MST)
provider. Master's level therapist who works on a team established by
the Oklahoma Juvenile Affairs Office (OJA) which may include bachelor's level
staff.
(e)
Peer recovery
support specialist (PRSS)/Family peer recovery support specialist
(F-PRSS). The PRSS and F-PRSS must be certified by ODMHSAS pursuant to
requirements found in OAC 450:53.
(f)
Qualified behavioral health aide
(QBHA). QBHAs must:
(1) Possess
current certification as a Behavioral Health Case Manager I;
(2) Have successfully completed the
specialized training and education curriculum provided by the ODMHSAS;
(3) Be supervised by a bachelor's
level individual with a minimum of two (2) years case management or care
coordination experience;
(4) Have
service plans be overseen and approved by an LBHP or licensure candidate;
and
(5) Function under the general
direction of an LBHP, or licensure candidate and/or systems of care team, with
an LBHP or licensure candidate available at all times to provide back up,
support, and/or consultation.
(g)
Behavioral health case
manager. For behavioral health case management services to be
compensable by SoonerCare, the provider performing the services must be an
LBHP, licensure candidate, CADC or have and maintain a current certification as
a Behavioral Health Case Manager II (CM II) or Behavioral Health Case Manager I
(CM I) from ODMHSAS in accordance with requirements found in OAC 450:50.
(1) A Wraparound Facilitator Case Manager
must be an LBHP, licensure candidate or CADC that meets the qualifications for
CM II and has the following:
(A) Successful
completion of the ODMHSAS training for wraparound facilitation within six (6)
months of employment; and
(B)
Participate in ongoing coaching provided by ODMHSAS and employing agency;
(C) Successfully complete
wraparound credentialing process within nine (9) months of beginning process;
and
(D) Direct supervision or
immediate access and a minimum of one (1) hour weekly clinical consultation
with a qualified mental health professional, as required by ODMHSAS.
(2) An Intensive Case Manager must
be an LBHP, licensure candidate, or CADC that meets the provider qualifications
of a CM II and has the following:
(A) A
minimum of two (2) years behavioral health case management experience;
and
(B) Crisis diversion
experience.
Added at 26 Ok Reg
734, eff 4-1-09 (emergency); Added at 26 Ok Reg 2090, eff 6-25-09; Amended at
27 Ok Reg 2753, eff 7-20-10 (emergency); Amended at 28 Ok Reg 1469, eff
6-25-11
