Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 21 - OUTPATIENT BEHAVIORAL HEALTH AGENCY SERVICES
Section 317:30-5-240.3 - Staff credentials
Universal Citation: OK Admin Code 317:30-5-240.3
Current through Vol. 41, No. 20, July 1, 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), 59O.S. § 1903(C) and (D),
59O.S. § 1925.3(B) and (C), and 59O.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). The PRSS must be certified by ODMHSAS pursuant to requirements found in OAC 450:53.
(f) Family support and training provider (FSP). FSPs must:
(1) Have a
high school diploma or equivalent;
(2) Be twenty-one (21) years of age and have
a successful experience as a family member of a child/adolescent with serious
emotional disturbance, or a minimum of have lived experience as the primary
caregiver of a child/adolescent who has received services for substance use
disorder and/or co-occurring substance use and mental health, or have lived
experience being the caregiver for a child/adolescent with Child Welfare/Child
Protective Services involvement;
(3) Successfully complete family support
training according to a curriculum approved by ODMHSAS and pass the examination
with a score of eighty percent (80%) or better;
(4) Pass Oklahoma State Bureau of
Investigation (OSBI) background check;
(5) Have treatment plans be overseen and
approved by a licensed behavioral health professional (LBHP) or licensure
candidate; and
(6) Function under
the general direction of an LBHP, licensure candidate or systems of care team,
with an LBHP or licensure candidate available at all times to provide back up,
support, and/or consultation.
(g) Qualified behavioral health aide (QBHA). QBHAs must :
(1) Have
completed sixty (60) hours or equivalent of college credit; or may substitute
one (1) year of relevant employment and/or responsibility in the care of
children with complex emotional needs for up to two (2) years of college
experience; and
(2) Have
successfully completed the specialized training and education curriculum
provided by the ODMHSAS; and
(3)
Be supervised by a bachelor's level individual with a minimum of two (2) years
case management or care coordination experience; and
(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.
(h) 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 case manager II (CM II) or case manager I (CM I) from ODMHSAS. The requirements for obtaining these certifications are as follows:
(1) The CM II must meet the
requirements in (A), (B), (C) or (D) below:
(A) Possess a bachelor's or master's degree
in a behavioral health related field earned from a regionally accredited
college or university recognized by the United States Department of Education
(USDE) or a bachelor's or master's degree in education; and complete web-based
training for behavioral health case management and behavioral health
rehabilitation as specified by ODMHSAS; and complete one(1) day of face-to-face
behavioral health case management training and two(2) days of face-to-face
behavioral health rehabilitation training as specified by ODMHSAS; and pass
web-based competency exams in behavioral health case management and behavioral
health rehabilitation.
(B) Be
licensed and in good standing as a registered nurse in the state in which
services are provided, with experience in behavioral health care; complete
web-based training for behavioral health case management and behavioral health
rehabilitation as specified by ODMHSAS; complete one(1) day of face-to-face
behavioral health case management training and two(2) days of face-to-face
behavioral health rehabilitation training as specified by ODMHSAS; and pass
web-based competency exams for behavioral health case management and behavioral
health rehabilitation.
(C) Possess
a bachelor's or master's degree in any field earned from a regionally
accredited college or university recognized by the USDE and a current
certification or Children's Certificate in Psychiatric Rehabilitation from the
US Psychiatric Rehabilitation Association (USPRA); complete the behavioral
health case management web-based training as specified by ODMHSAS; complete
one(1) day of face-to-face behavioral health case management training; and pass
web-based competency exams for behavioral health case management. Applicants
who have not received a certificate in children's psychiatric rehabilitation
from the USPRA must also complete the behavioral health rehabilitation
web-based training as specified by ODMHSAS.
(D) Possess a bachelor's or master's degree
in any field and proof of active progression toward obtaining a clinical
licensure master's or doctoral degree at a regionally accredited college or
university recognized by the USDE and complete web-based training for
behavioral health case management and behavioral health rehabilitation as
specified by ODMHSAS; complete one(1) day of face-to-face behavioral health
case management training and two(2) days of face-to-face behavioral health
rehabilitation training as specified by ODMHSAS; and pass web-based competency
exams in behavioral health case management and behavioral health
rehabilitation.
(2) The
CM I meets the requirements in either (A) or (B) and (C):
(A) Completed sixty (60) college credit
hours; or
(B) Possesses a high
school diploma with thirty-six (36) total months of experience working with
persons who have a mental illness and/or substance abuse. Documentation of
experience on file with ODMHSAS; and
(C) Completes two(2) days of ODMHSAS
specified behavioral health case management training and passes a web-based
competency exam for behavioral health case management.
(3) Wraparound facilitator case manager is 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; and
(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.
(4) Intensive case manager is 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, crisis diversion
experience, and
(B) Must have
attended the ODMHSAS six(6) hours intensive case management training.
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
Disclaimer: These regulations may not be the most recent version. Oklahoma 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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
