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General MHCP Non-Enrollable Mental Health Provider Requirements

Revised: 02-07-2012

The following types of individual providers are authorized to provide mental health services under clinical supervision in specialty-specific service settings:


Mental Health Practitioners
The following requirements apply to all mental health practitioners:

Mental health practitioners providing services for the treatment of mental illness, who are not eligible for enrollment, must be under clinical supervision of a mental health professional and must be qualified in at least one of the following five ways:

1. Holds a bachelor’s degree in a behavioral science/related field, from accredited college/university and meets either a or b:
a. has at least 2000 hours of supervised experience in the delivery of mental health services to recipients with mental illness
b. is fluent in the non-English language of the cultural group to which at least 50% of the practitioners recipients, completes 40 hours of training in the delivery of services to recipients with mental illness, and receives clinical supervision from a mental health professional at least once a week until the requirements of 2000 hours of supervised experience are met
2. Has at least 6000 hours of supervised experience in the delivery of mental health services to recipients with mental illness. Hours worked as a mental health behavioral aide I or II under CTSS may be included in the 6000 hours of experience for child recipients.
3. Is a graduate student in one of the mental health professional disciplines and is formally assigned by accredited college/university to an agency or facility for clinical training.
4. Holds a masters or other graduate degree in one of the mental health professional disciplines from an accredited college/university.
5. Tribally certified mental health practitioner who is serving a federally recognized Indian tribe.

• A mental health practitioner for a child client must have training working with children.
• A mental health practitioner for an adult client must have training working with adults.

Mental Health Practitioners Who Are Qualified as Clinical Trainees
A mental health practitioner working as a clinical trainee must:

• Be complying with requirements for licensure or board certification as a mental health professional including supervised practice in the delivery of mental health services for the treatment of mental illness; OR
• Be a student in a bona fide field placement or internship under a program leading to completion of the requirements for licensure as a mental health professional

The clinical trainee’s clinical supervision experience helps the practitioner gain knowledge and skills necessary to practice effectively and independently and may include supervision of:

• Direct practice
• Treatment team collaboration
• Continued professional learning
• Job management


Who Can Do Mental Health Diagnostic Assessments and Psychotherapy?
Mental health practitioners qualified as clinical trainees may provide diagnostic assessment, psychotherapy and explanation of findings under the clinical supervision of a qualified clinical supervisor. That supervisor must submit a Qualified Mental Health Professional Clinical Supervisor Assurance Statement (DHS-6330) prior to clinical trainee rendering service. .


Non-Enrollable Providers Training & Continuing Education Requirements
All non-enrollable providers must:

• Complete ongoing continuing education as required by specialty’s professional license/certification
• Complete all treatment clinical supervision required by agency’s specialty


Supervision*
* See General Clinical Supervision Requirements for both general and specialty-specific requirements.

See the MHCP Enrollable Mental Health Professional Certification & Enrollment Requirements table for more information on who can enroll as a mental health professional.


Specialty-Specific Mental Health Provider/Agency Requirements
The following services have additional certification or provider requirements regarding non-enrollable providers which are displayed in the Specialty-Specific Mental Health Provider Requirements table:

Specialty-Specific Mental Health Provider/Agency Requirements
The following services are in alphabetical order.
Type of Service Requirements
Adult Crisis Response Agency:
A tribe, county or county contracted vendor in the county where the crisis/emergency occurs
Individual:
Mobile Team for Crisis Assistance and Crisis Intervention

Mobile crisis intervention teams can be comprised of two or more people with at least one member available to provide on-site crisis intervention services when needed. Teams can be:
• Two or more mental health professionals
• A mental health professional and a mental health practitioner with the required mental health crisis training and under the clinical supervision of a mental health professional on the team

Crisis Stabilization Services
• Can include mental health rehabilitation workers as defined in ARMHS (see below)
Adult Day Treatment Agency:
Providers must submit an application and receive written approval from provider enrollment. The following agencies may apply to become adult day treatment providers.

Licensed outpatient hospital with JCAHO accreditation;
An MHCP enrolled community mental health center; or
An entity under contract with a county to operate a day treatment program.
Individual:
The Day Treatment multidisciplinary team members must meet, at a minimum, the standards for a mental health practitioner.

Psychotherapy components of day treatment must be provided by a mental health professional or a mental health practitioner working as a clinical trainee.
Assertive Community Treatment (ACT)
AGENCY
Agency:
An eligible program must have:
• A contract with a host county
• Be certified by DHS to provide ARMHS and meet specific standards as established in the Minnesota ACT Standards.

Detailed information on the ACT fidelity standards and enrollment
Individual:
General requirement for all Assertive Community Treatment (ACT) direct service staff

All ACT direct service staff must qualify as Mental Health Professionals, Mental Health Practitioners, Mental Health Rehabilitation Workers, or Certified Peer Specialists.

Assertive Community Treatment (ACT) Team Leader

The Team Leader must be a full-time Mental Health Professional with one year of appropriate prior supervisory experience. Provisional Standard: The Team Leader may be a full-time Mental Health Practitioner with one year of appropriate prior supervisory experience; in this instance, a Mental Health Professional provides the team's required clinical and rehabilitative supervision and must spend at least one-half time as a member of the team. The Provisional Standard only applies for up to 12 months from the inception of the ACT program, at which time there must be a full-time equivalent Mental Health Professional assigned to the team and providing the required clinical and rehabilitative supervision; the Team Leader may continue to be a Mental Health Practitioner as long as the Mental Health Professional remains a full-time equivalent member of the team and provides the required clinical and rehabilitative supervision.

Assertive Community Treatment (ACT) Registered Nurse

An ACT Registered Nurse must have one year of prior mental health experience, preferably in community-based settings.

Assertive Community Treatment (ACT) Substance Abuse Specialist

An ACT Substance Abuse Specialist must have one year of training or experience in substance abuse treatment and must qualify as a Mental Health Practitioner or Rehabilitation Worker.

Assertive Community Treatment (ACT) Vocational Specialist

An ACT Vocational Specialist must have one year of training or experience in vocational rehabilitation and support and must qualify as a Mental Health Practitioner or Rehabilitation Worker.
Adult Rehabilitative Mental Health Services (ARMHS)
AGENCY
Agency:
To receive MA reimbursement, providers of ARMHS programs must be certified in
accordance with MS 256B.0623. See the Adult Mental Health Division website for details and enrollment information.
Individual:
Adult Rehabilitative Mental Health Services (ARMHS) Mental Health Practitioners

ARMHS Mental Health Practitioners must receive continuing education:
• As required by their professional license, or
• If not licensed, at least 30 hours every two years in the areas of mental illness and mental health services

ARMHS Mental Health Rehabilitation Workers
Mental Health Rehabilitation Workers work under the direction of a mental health professional or mental health practitioner and must meet the following 4 requirements:
1. Must be at least 21 years of age
2. Have a high school diploma or equivalent
3. Must successfully complete 30 hours of training during the two years prior to hiring in each of the following areas:
• Recipient rights
• Recipient-centered individual treatment planning
• Behavioral terminology
• Mental illness
• Co-occurring mental illness and substance abuse
• Psychotropic medications and side effects
• Functional assessment
• Local community resources
• Adult vulnerability
• Recipient confidentiality
4. Meets one of the qualifications in A. or B.
A. Have associate of arts degree in one of the behavioral sciences or is a registered nurse without a bachelor’s degree, or within the previous 10 years has :
• Three years personal life experience with serious and persistent mental illness
• Three years personal life experience as primary caregiver to an adult with a serious mental illness or brain injury
• 4000 hours supervised paid work experience in the delivery of mental health services to adults with a serious mental illness or brain injury
B. Is fluent in non-English language or competent in culture of ethnic group to which at least 20 percent of rehab worker’s recipients belong, and
• receives monthly documented individual clinical supervision during the first 2000 hours employment
• has 18 hours of documented field supervision by a mental health professional or practitioner during the first 160 hours of contact work with recipients and at least 6 hours of field supervision quarterly during the following year
• has review and co-signature of charting of recipient contacts during field supervision by a mental health professional or practitioner and
• has 15 hours of additional continuing education on mental health topics during the first year of employment and 15 hours during every additional year of employment

Mental health rehabilitation workers must:
• receive 30 hours of continuing education every two years in areas of mental illness and mental health services and other areas specific to the population being served
• receive direct on-site observation while providing ARMHS services as follows:
• For newly hired workers at least 6 hours per 40 hours during first 160 hours of service
• For workers in continued employment at least 6 hours every six months

ARMHS Treatment Director
Each ARMHS provider must have a treatment director. The treatment director can be a mental health professional or a mental health practitioner under clinical supervision
Certified Peer Specialist Services (CPSS) Certified Peer Specialist Level I:
• At least 21 years of age
• High school diploma, GED or equivalent
• Primary diagnosis of mental illness
• Is a current or former consumer of mental health services
• Successfully completed the DHS approved Certified Peer Specialist training and certification exam.

Certified Peer Specialist Level II – meets all requirements of CPS Level I and meets one or more of the following:
• Is qualified as a mental health practitioner
• Has at least 6000 hours of supervised experience in the delivery of peer services to persons with mental illness
• Has at least 4000 hours of supervised experience in the delivery of services to persons with mental illness and an additional 2000 hours of supervised experience in the delivery of peer services to persons with mental illness.

Certification is valid for two years from the date of certification. To retain certification, Certified Peer Specialists, Level I and II, must complete and submit documentation of continuing education to the Department of Human Services of at least 30 hours every two years in the areas of mental health recovery, mental health rehabilitative services, and peer support. Certified peer specialists in a crisis stabilization team must have completed at least 30 hours of crisis intervention and stabilization training during their first two years on a crisis stabilization team.
Children’s Mental Health Crisis Response Services
Mobile Crisis Response
Agency:
Crisis intervention and crisis stabilization provider entities must meet:
The administrative and clinical standards specified in MS 256B.0943, subd., 5 and 6, and meet the standards listed in paragraph (b), Be certified as a crisis provider.
• A crisis intervention and crisis stabilization provider can be:
• A county board-operated entity; or
• An Indian health service facility or facility owned and operated by a tribe or a tribal organization operating under Public Law 93-638 as a 638 facility; or
• A provider entity under contract with the county board in the county where the potential crisis or emergency is occurring.
Individual:
In addition to the General MHCP Provider Requirements:
Mobile Team for Crisis Assistance, Crisis Intervention and Crisis Stabilization

Mobile crisis teams can be comprised of two people with at least one member available to provide on-site crisis services when needed. Teams can be:
• Two mental health professionals
• A mental health professional and a mental health practitioner with the required mental health crisis training and under the clinical supervision of a mental health professional on the team

Team members must be experienced in mental health assessment, mobile crisis intervention techniques and clinical decision making under emergency conditions.
Children’s Therapeutic Services and Supports (CTSS)
AGENCY
Agency:
Agency providers must be certified in accordance with
MS 256B.0943. Primary certification review is done by DHS. A CTSS provider can be:
• County-operated entities; or
• Community Mental Health Centers; or
• Hospital-based providers; or
• Indian health services facilities or a facility owned and operated by a tribe or tribal organization operating as a 638 facility under Public Law 93-638; or
• Non county entity.
Children’s Therapeutic Services and Supports (CTSS)

Mental Health Behavioral Aide (MHBA)
Individual:
In addition to the General MHCP Provider Requirements:
An MHBA may be a Level I or Level II, and supervised by a mental health professional/practitioner.

A Level I mental health behavioral aide must:
• Be at least 18 years of age
• Have a high school diploma or general equivalency diploma (GED) or two years of experience as a primary caregiver to a child with severe emotional disturbance within the previous ten years
• Meet orientation and training requirements

A Level II mental health behavioral aide must:
• Be at least 18 years of age
• Have an associate or bachelor’s degree
or
• 4,000 hours of experience in delivering clinical services in the treatment of mental illness concerning children/adolescents
• Meet orientation and training requirements

MHBA, Level I and II, must complete 30 hours of pre-service training. This must include:
• 15 hours of face-to-face training in mental health services delivery
• 8 hours of parent teaming training
• Remaining 7 hours may include one-to-one time with a mental health professional/practitioner

Topics covered during pre-service training include those specified in Minnesota Rules 9535.4068, subpart 1 and 2, and parent teaming training.
MHBAs must receive 20 hours of continuing education every two calendar years
Topics covered include those specified in Minnesota Rules 9535.4068, subpart 2
The continuing education must be related to serving the needs of children with severe emotional disturbance and the child’s family in the child’s home environment.
Provide verification of completed required continuing education units on an annual basis
Children’s Therapeutic Services and Supports (CTSS)
Mental Health Practitioner
Individual:
In addition to the General MHCP Provider Requirements:
Mental health practitioners who provide CTSS service components must:
Receive 20 hours of continuing education every two calendar years

The topics covered in training must be related to serving the needs of children with emotional disturbance and conform to
Minnesota Rules 9535.4068

Provide verification of completed required continuing education units on an annual
basis

Clinical trainee rendering psychotherapy under CTSS must follow the same clinical supervision criteria as clinical trainee rendering psychotherapy under outpatient mental health services.
Children’s Therapeutic Services and Supports (CTSS)
Children’s Day Treatment
Individual:
Clinical trainee rendering psychotherapy under CTSS must follow the same clinical supervision criteria as clinical trainee rendering psychotherapy under outpatient mental health services.

Team:

In addition to the General MHCP Provider Requirements:
Mental health practitioners must have a consulting relationship with a mental health professional in order to provide skills training components of day treatment services.
Children’s Therapeutic Services and Supports (CTSS) for Therapeutic Preschool Program

Mental Health Practitioner/Mental Health Behavioral Aide
Individual:
Clinical trainee rendering psychotherapy under CTSS must follow the same clinical supervision criteria as clinical trainee rendering psychotherapy under outpatient mental health services.

Team:

In addition to the General MHCP Provider Requirements:
The CTSS team consists of one mental health professional and one or more of the following individuals under the clinical supervision of the mental health professional on the team:
• A mental health practitioner
• A program person (teacher/assistant teacher/aide who meets the qualifications and training standards of a Level I MHBA)
Intensive Residential Treatment Services (IRTS) Agency:
Providers must have the capacity to provide integrated services for:
• Chemical dependency,
• Illness management services, and
• Family education

Providers must have sufficient staff for 24-hour coverage in the delivery of rehabilitative services described in a treatment plan.

Staff must be available to safely supervise and direct activities of recipients given their level of behavioral and psychiatric stability, cultural needs, and vulnerability.

The IRT provider must have a contract to provide IRT services with a host county and be licensed under Rule 36 (
Minnesota Rules 9520.0500-9520.0670). A facility cannot exceed 16 beds.
Individual:
IRTS staff may be qualified as mental health practitioners or rehabilitation workers, as specified under ARMHS
Mental Health Targeted Case Management (MH-TCM)
AGENCY
Agency:
MH-TCM is comprised of services and activities that assist eligible MA recipients gain access to needed medical, social, educational, and financial services. MH-TCM is authorized and defined in MS
256B.0625, subd. 20, MS 245.461 to 245.468, MS 245.487 to 245.4887, Minnesota Rules 9505.0322, and 9520.0900 to 9520.0926. The county agency or tribe may provide MH-TCM services directly or contract with an appropriate vendor to perform MH-TCM services on behalf of the county or tribe. Counties and tribes are responsible for determining eligibility for MH-TCM services. The determination must be based on a diagnostic assessment resulting in a determination of SED or SPMI. Information on MH-TCM provided by Indian Health Services or Tribal 638 facilities may be found in Bulletin #02-53-03.
Individual:
Case Managers

Must meet items 1 – 3 as follows:
1. Is skilled in the process of identifying and assessing a wide range of client needs
2. Is knowledgeable about local community resources and how to use those resources for the benefit of the client
3. Meet one of the following:
• Holds a bachelor’s degree in a behavioral science/related field from an accredited college or university and meets requirements for supervision and continuing education
• Without a bachelor’s degree meet one of the following:
• Has 3 or 4 years of experience as a case manager associate
• Be a RN without bachelor’s degree with 3 or more years combined specialized training in psychiatry and work experience consisting of community interaction and involvement or community discharge planning in a mental health setting

Case managers with at least 2000 hours of supervised experience in the delivery of services to persons with mental illness must receive regular ongoing supervision and clinical supervision totaling 38 hours per year of which at least one hour per month must be clinical supervision regarding individual service delivery with a case management supervisor. The remaining 26 hours of supervision may be provided by a case manager with two years of experience. Group supervision may not constitute more than one-half of the required supervision hours. Case managers without 2000 hours of supervised experience in the delivery of services to persons with mental illness must:
• Receive clinical supervision regarding individual service delivery from a mental health professional at least one hour per week until the requirement of 2000 hours of experience is met
• Complete 40 hours of training approved by the commissioiner in case management skills and the characteristics and needs of adults with serious and persistent mental illness

Case managers who are not licensed, registered, or certified by a health-related licensing board must receive 30 hours of continuing education and training in mental illness and mental health services every two years.

Immigrant Case Manager

May provide case management services to immigrants with SPMI or SED if they are members of the same ethnic group as the case manager and:
• Are currently enrolled in and actively pursuing credits toward completion of a bachelor's degree in a behavioral science/related field from an accredited college/university
• Completes 40 hours of training
• Receives clinical supervision at least once a week until all requirements are met

Case Manager Associates
Case Manger Associates must meet the qualifications in 1 - 4:
1. Be at least 21 years of age
2. Have at least a high school diploma or its equivalent
3. Work under the direction of a case manager/case management supervisor
4. Meet one of the following criteria:
• Have an associate of arts degree in behavioral sciences/human services
• Be an RN without a bachelor’s degree
• Within the previous 10 years had three years life experience with a serious and persistent mental illness (SPMI) or had a severe emotional disturbance (SED) as a child, if providing case management to adults
• Within the previous 10 years had three years life experience as a primary caregiver to an adult with a SPMI if providing case management to a child with a SED
• Have 6,000 hours of work experience as a state hospital technician (no degree)
• Be a mental health practitioner as defined in MS 245.462, subd.17(2) [have 6000 hours supervised experience in delivery of services to persons with mental illness]

Case manager associates meeting one of the criteria in bullets 1-5 above may qualify as a case manager after 4 years of supervised work experience as a CMA

Case manager associates meeting the criterion in the last bullet above may qualify as a case manager after 3 years of supervised experience as a CMA

Mentor

A mentor is a qualified, practicing case manager/case management supervisor who teaches or advises and provides intensive training and clinical supervision to one or more case manager associates. Mentoring may occur while providing direct services to recipients and may be provided to individuals or groups of case manager associates.
Outpatient Mental Health Services Diagnostic Assessment, Psychotherapy and explanation of findings Individual:
Only mental health practitioners qualified as clinical trainees may render diagnostic assessments, psychotherapy and explanation of findings under the clinical supervision of a qualified mental health professional. A clinical trainee must be either:
• Complying with requirements for licensure or board certification as a mental health professional, as defined in 9505.0371 subp.1, A, including supervised practice in the delivery of mental health services for treatment of mental illness; or
• A student in a bona fide field placement or internship under a program leading to completion of the requirements for licensure as a mental health professional defined in 9505.0371 subp.1, A

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