OHCA Policies and Rules

Search Entire Policy
OHCA Policies and Rules Main Page


317:30-5-240.3.Staff Credentials

[Revised 09-01-16]

(1) Allopathic or Osteopathic Physicians 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) Practitioners with a license to practice in the state in which services are provided, issued by one of the licensing boards listed in (A) through (F). The exemptions from licensure under 59 ' 1353(4) (Supp. 2000) and (5), 59 ' 1903(C) and (D) (Supp. 2000), 59 ' 1925.3(B) (Supp. 2000) and (C), and 59 ' 1932(C) (Supp. 2000) 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) Advanced Practice Nurse (certified in a psychiatric mental health specialty), licensed as a registered nurse 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 in good standing in this state 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 of the licensing boards 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 candidate for consultation while they are providing services,

(3) agree with the current plan for the member, and

(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. Masters level therapist who works on a team established by OJA which may include Bachelor level staff.

(e) Peer Recovery Support Specialist (PRSS). The Peer Recovery Support Specialist must be certified by ODMHSAS pursuant to requirements found in OAC 450:53.

(f) Family Support and Training Provider (FSP). FSPs are defined as follows:

(1) Have a high school diploma or equivalent;

(2) be 21 years of age and have successful experience as a family member of a child or youth with serious emotional disturbance, or a minimum of 2 years' experience working with children with serious emotional disturbance or be equivalently qualified by education in the human services field or a combination of work experience and education with one year of education substituting for one year of experience (preference is given to parents or care givers of child with SED);

(3) successful completion of ODMHSAS Family Support Training;

(4) pass background checks;

(5) service plans must be overseen and approved by an LBHP or Licensure Candidate; and

(6) must function under the general direction of an LBHP, or 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) Behavioral Health Aide (BHA). BHAs are defined as follows:

(1) Behavioral Health Aides must have completed 60 hours or equivalent of college credit; or

(2) may substitute one year of relevant employment and/or responsibility in the care of children with complex emotional needs for up to two years of college experience; and

(3) must have successfully completed the specialized training and education curriculum provided by the ODMHSAS; and

(4) must be supervised by a bachelor's level individual with a minimum of two years case management or care coordination experience; and

(5) service plans must be overseen and approved by an LBHP or  Licensure Candidate; and

(6) must 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) Certified Behavioral Health Case Manager II (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 day of face-to-face behavioral health case management training and two 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) Possess a current license as a registered nurse in the State of Oklahoma 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 day of face-to-face behavioral health case management training and two 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 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 US Psychiatric Association (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 day of face-to-face behavioral health case management training and two 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) Certified Behavioral Health Case Manager I meets the requirements in either (A) or (B) and (C):

(A) completed 60 college credit hours; or

(B) has a high school diploma with 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 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 aLBHP, 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 months of employment; and

(B) participate in ongoing coaching provided by ODMHSAS and employing agency; and

(C) successfully complete wraparound credentialing process within nine months of beginning process; and

(D) direct supervision or immediate access and a minimum of one hour weekly clinical consultation with a Qualified Mental Health Professional, as required by ODMHSAS.

(4) Intensive Case Manager is a LBHP, Licensure Candidate or CADC that meets the provider qualifications of a Case Manager II and has the following:

(A) A minimum of two years Behavioral Health Case Management experience, crisis diversion experience, and

(B) must have attended the ODMHSAS six hours Intensive case management training.

Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.