Section 405 IAC 5-21.7-11 - Provider authorization and service provider qualificationsAuthority: IC 12-8-6.5-5; IC 12-15
Affected: IC 12-13-7-3; IC 12-17-12; IC 12-17.2-4; IC 12-17.2-5; IC 12-29; IC 25-23.6; IC 25-27.5-5; IC 25-33-1; IC 31-27-3; IC 31-27-4
Sec. 11.
(a) In addition to meeting CMHW service standards required for the provider authorization process, as defined in section 10 of this rule, the service provider must also meet service-specific qualifications, based upon the specific CMHW service for which the provider is seeking office authorization to deliver.(b) A wraparound facilitation service provider must meet the following qualifications and standards:(1) The provider must be employed by an office-authorized accredited agency.(2) The provider must qualify as an other behavioral health professional (OBHP), as defined in 405 IAC 5-21.5-1, who has one (1) of the following:(A) A bachelor's degree with two (2) or more years of clinical experience.(B) A master's degree in social work, psychology, counseling, nursing, or other mental health-related field, with two (2) or more years of clinical experience.(3) The provider must complete the following office-required service provider training and certifications: (A) CMHW services orientation.(B) Child and adolescent needs and strengths assessment tool certification.(C) Wraparound practitioner certification, provided, however, that the facilitator shall have eighteen (18) months after the starting date to complete the certification.(D) Cardiopulmonary resuscitation (CPR) certification.(c) A habilitation service provider must meet the following qualifications and standards: (1) Be at least twenty-one (21) years of age.(2) Possess a high school diploma or the equivalent.(3) Demonstrate a minimum of three (3) years of qualifying SED work experience.(4) Provide documentation of a safe driving record, as well as the following: (A) A current driver's license.(B) Proof of motor vehicle insurance coverage.(C) Proof of current vehicle registration.(5) For every thirty (30) hours of habilitation services provided, the provider must obtain one (1) hour of face-to-face supervision with an approved mental health service provider that meets one (1) of the following licensure requirements: (A) Licensure in psychology (HSPP) as defined in IC 25-33-1.(B) Licensed marriage and family therapist (LMFT) under IC 25-23.6-8.(C) Licensed clinical social worker (LCSW) under IC 25-23.6-5.(D) Licensed mental health counselor (LMHC) under IC 25-23.6-8.5.(6) Complete the following office-required service provider training: (A) CMHW services orientation.(d) A CMHW respite care service provider must meet the following requirements and standards as applicable: (1) All individuals providing respite care services must meet the following qualifications and standards: (A) Be at least twenty-one (21) years of age.(B) Possess a high school diploma or the equivalent.(C) Demonstrate three (3) years of qualifying SED work experience.(D) Provide documentation of a safe driving record, as well as:(i) a current driver's license;(ii) proof of motor vehicle insurance coverage; and(iii) proof of current vehicle registration.(E) Complete the following office-required service provider training: (i) CMHW services orientation.(2) A member's relative, related by blood, marriage, or adoption, who is not the member's legal guardian or primary caregiver and who does not live in the member's home, may also provide respite care services, under the following conditions: (A) The individual is selected by the member or the member's family to provide the service.(B) The team has determined that provision of the service by a relative is in the best interests of the member.(C) The individual providing the service must do the following:(i) Apply for and be certified as a CMHW respite care service provider.(ii) Meet all of the qualifications and standards required for an individual respite care service provider.(3) Office-authorized respite care service providers may include the following agencies or facilities licensed by the office or the Indiana department of child services, and shall meet CMHW services accredited agency authorization standards defined in section 10 of this rule:(A) Emergency shelters licensed under 465 IAC 2-10.(B) Foster homes licensed under IC 31-27-4, including special needs and therapeutic foster homes only when the licensed child placing agency (LCPA) is an office-certified agency provider. The office is authorized to request a copy of the study of the home of the foster parent providing respite care services.(C) Other child caring institutions licensed under IC 31-27-3.(D) Child care centers licensed under IC 12-17.2-4.(E) Child care homes licensed under IC 12-17.2-5.(F) School age child care project licensed under IC 12-17-12.(e) A CMHW services training and support for unpaid caregiver service provider must meet the following qualifications and standards:(1) Be at least twenty-one (21) years of age.(2) Possess a high school diploma or the equivalent.(3) Demonstrate two (2) years of qualifying SED work experience with SED children.(4) With regard to an individual service provider, live within a one-county area from the county of the member's residence.(5) Complete the following office-required service provider training: (A) CMHW service orientation.Office of the Secretary of Family and Social Services; 405 IAC 5-21.7-11; filed Dec 18, 2013, 11:13 a.m.: 20140115-IR-405130211FRAFiled 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRAErrata filed 11/1/2016, 9:36 a.m.: 20161109-IR-405160493ACAReadopted filed 7/28/2022, 2:21 p.m.: 20220824-IR-405220205RFAReadopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA