Ohio Admin. Code 173-39-02.12 - ODA provider certification: social work or counseling
(A)
Definitions for this rule:
(1)
"Social work or
counseling" (service) means a service to an individual or to an individual's
caregiver to promote the individual's physical, social, or emotional
well-being; and the development and maintenance of a stable and supportive
environment for the individual.
(a)
"Social work or counseling" includes crisis
interventions, grief counseling, and other social work and counseling
interventions that support the individual's health and welfare.
(b)
"Social work or
counseling" does not include any of the following:
(i)
A service
provided in place of case management.
(ii)
A service
provided to the individual's authorized representative or caregiver that is
unrelated to the individual's well-being.
(iii)
A service
provided if the individual receives a similar service paid (in full or in part)
by medicare, state plan medicaid, or another third- party
payer.
(2)
"E.passport" has
the same meaning as in section
4732.40 of the Revised
Code.
(B)
Requirements for an ODA-certified provider of social
work or counseling:
(1)
General requirements: The provider is subject to rule
173-39-02 of the Administrative
Code.
(2)
Venue: The provider shall provide this service in the
individual's home, in another community-based setting agreed upon by the
individual and the provider, or by telephone or video conference as permitted
by the licensing board for the licensed professional providing this
service.
(3)
Assessment: The provider shall assess each individual,
including the individual's psycho-social, financial, and environmental
statuses.
(4)
Treatment plan:
(a)
The provider
shall develop a treatment plan that includes a method of treatment and number
of sessions and share the plan with the individual and the individual's case
manager within ten business days after the provider completes the
assessment.
(b)
The provider shall implement the treatment
plan.
(5)
Provider qualifications: No person may provide the
service, whether as a non- agency provider or as an employee or subcontractor
of an agency provider, unless the person meets the following
qualifications.
(a)
The person has a current, valid license in good
standing with the provider's state licensing board to be one of the
following:
(i)
Licensed psychologist or licensed psychologist with an
e.passport.
(ii)
Licensed professional clinical counselor (LPCC),
including an LPCC from a member state with an unencumbered multistate license
under section 4757.51 of the Revised
Code.
(iii)
Licensed professional counselor (LPC), including an LPC
from a member state with an unencumbered multistate license under section
4757.51 of the Revised
Code.
(iv)
Independent marriage and family therapist
(IMFT).
(v)
Marriage and family therapist (MFT).
(vi)
Licensed
independent social worker (LISW) including, beginning on August 9, 2024, an
LISW from a member state with an unencumbered multistate license under section
4757.52 of the Revised Code.
(vii)
Licensed social
worker (LSW) including, beginning on August 9, 2024, an LSW from a member state
with an unencumbered multistate license under section 4757.52 of the Revised
Code.
(viii)
An advanced practice RN designated as a CNP or CNS and
certified as a psychiatric-mental health CNP or CNS by the American nurses
credentialing center.
(b)
The person has at
least one year of social work or counseling experience.
(6)
Service verification: The following are the mandatory
reporting items for each session:
(a)
Individual's name.
(b)
Date of
session.
(c)
Time of day each session begins and
ends.
(d)
Name of staff member providing social work or
counseling to the individual or the individual's caregiver (if an agency
provider).
(e)
A unique identifier of the individual to attest to
participating in the session.
(C)
Unit and
rate:
(1)
For
the PASSPORT program, the appendix to rule
5160-1-06.1 of the
Administrative Code lists the following:
(a)
A unit of a
social work or counseling as fifteen minutes of session time with the
individual.
(b)
The maximum-allowable rate for a unit of social work or
counseling.
(2)
For the PASSPORT program, rule
5160-31-07 of the Administrative
Code establishes the rate-setting methodology for social work or
counseling.
Replaces: 173-39-02.12
Notes
Promulgated Under: 119.03
Statutory Authority: 121.07, 173.01, 173.02, 173.391, 173.52, 173.522
Rule Amplifies: 173.39, 173.391, 173.52, 173.522; 42 C.F.R. 441.352
Prior Effective Dates: 03/31/2006, 09/02/2010, 12/01/2015, 06/11/2020 (Emer.), 10/23/2020, 04/17/2022
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.