OHCA Policies and Rules

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317:30-5-265. Eligible providers

[Revised 09-14-2020]

(a) Agency requirements. CCBHCs are responsible for providing services to qualifying individuals within the provider's specified service area. Qualifying providers must:

(1) Be certified by the ODMHSAS as a community mental health center under OAC 450:17 and have provider specific credentials from ODMHSAS for CCBHCs (OAC 450:17-5-170 et seq.);

(2) Be under the direction of a licensed physician;

(3) Provide mobile crisis care twenty-four (24) hours, seven (7) days a week and have a twenty-four (24) hours, seven (7) days a week walk-in crisis clinic or a psychiatric urgent care, or have an agreement in place with a State-sanctioned alternative;

(4) Actively use an Office of National Coordinator (ONC) certified Electronic Health Record (EHR) as demonstrated on the ONC Certified Health IT Product List;

(5) Have a contract with a Health Information Exchange (HIE) and demonstrate staff use of obtaining and sending data through the HIE as well as policy stating frequency of use and security protocols; and

(6) Report on encounter, clinical outcomes, and quality improvement. This includes meeting all federal and State specifications of the required CMS quality measure reporting, as well as performance improvement reports outlining activities taken to improve outcomes.

(b) Interdisciplinary team. CCBHCs will utilize an interdisciplinary team of professionals and paraprofessionals to identify an individual's strengths and needs, create a unified plan to empower a person toward self-management, and coordinate the individual's varied healthcare needs. CCBHC teams will vary in size depending on the size of the member panel and acuity of the member. The treatment team includes the member, the family/caregiver of child members, the adult member's family to the extent the member does not object, and any other person the member chooses. Each CCBHC shall maintain a core staff comprised of employed and, if needed, contracted staff, as appropriate to the needs of the member as stated in the member's individual service plan.

(1) Teams shall at a minimum, include the following positions:

(A) Licensed psychiatrist;

(B) Licensed nurse care manager (RN or licensed practical nurse);

(C) Consulting primary care physician, APRN, or physician assistant (PA);

(D) At least one (1) LBHP and may include additional LBHPs and licensure candidates (see OAC 317:30-5-263);

(E) Peer recovery support specialist (see OAC 317:30-5-263);

(F) Family support provider for child members (see OAC 317:30-5-263);

(G) Certified behavioral health case manager II or certified alcohol and drug counselor (see OAC 317:30-5-263); and

(H) Qualified behavioral health aide.

(2) Optional team members may include the following:

(A) Certified behavioral health case manager I (see OAC 317:30-5-263);

(B) Licensed nutritionist;

(C) Occupational therapist; and/or

(D) Occupational therapist assistant under the supervision of a licensed occupational therapist.

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.