DMH Agency Provider Certification Types

DMH Agency Provider Certification Types A. Mississippi’s public mental health system is comprised of an array of community-based providers of services/supports and programs for people with mental health needs, substance use prevention and treatment needs, and people with intellectual and developmental disabilities. These providers may be required to and/or desire to apply for DMH provider certification. The following is a list of DMH-certified provider types: 1. Community Mental Health Centers (CMHCs) – (DMH/C): (a) Agency providers certified under this option are Community Mental Health Centers (CMHCs) operating under the authority of regional commissions established under Miss. Code Ann. § 41-19-33. CMHC governing authorities are considered regional and not state-level entities. CMHCs are also referred to as a region’s “Local Mental Health Authority (LMHA).” (b) CMHCs/LMHAs must provide all the required services defined by DMH and must have the capacity to offer these services in all counties within the respective CMHC’s region. Having the capacity to offer in this context means that the CMHC must provide each of the required services for all counties within their region. While the required services do not necessarily have to be physically located and/or provided in each county within the CMHC’s catchment area, the required services must be made available for citizens in each county within the CMHC’s catchment area. (c) Services provided by an agency certified under this option must also meet requirements of the Mississippi Division of Medicaid (DOM) to become a DOM provider of mental health services as defined as part of DOM’s Rehabilitation Option. DMH is not responsible for any required matching funds for reimbursement for this provider type. (d) The DMH certification designation assigned to a DMH-certified CMHC (or Local Mental Health Authority) is DMH/C. 2. Certified Community Behavioral Health Clinics (CCBHCs) – (DMH/CCBHC): (a) A Certified Community Behavioral Health Clinic (CCBHC) is a specially- designated clinic which provides a comprehensive range of mental health and substance use services. CCBHCs are responsible for providing nine (9) specific services as outlined in Chapter 54, which can be provided directly or through formal relationships with Designated Collaborating Organizations (DCOs). (b) Community Mental Health Centers (CMHCs/LMHAs) which obtain CCBHC certification status must also provide all required services for CMHCs/LMHAs and meet all applicable rules for DMH/C providers, as outlined in the DMH Operational Standards in addition to meeting the CCBHC rules. (c) The DMH certification designation assigned to a CCBHC is DMH/CCBHC. 3. DMH/Private Providers – (DMH/P): (a) Agency providers certified under this option must provide all required services as defined in the DMH Operational Standards for the mental health population(s) the agency has identified in the provider certification application(s) as seeking to serve (adults and/or children and youth) and must have the capacity to offer these services for all counties identified by the agency seeking certification by DMH. (1) Having the capacity to offer in this context means that the DMH/P provider must provide each required mental health service for the population(s) the agency is serving (i.e., adults and/or children and youth) for each county where the DMH/P provider is certified by DMH to provide services. (2) Additionally, if the DMH/P provider is certified to provide children and youth mental health and adult mental health services, then the required services for both children and youth mental health and adult mental health services must be provided for all identified counties. (3) A DMH/P provider of mental health services, however, may provide IDD or SUD services in a county or counties, independent of the above county provision requirements pertaining to required mental health services. (b) Any such services provided by an agency certified under this option must also meet the requirements of the DOM to become a DOM provider to provide mental health services as defined as part of DOM’s Rehabilitation Option. DMH is not responsible for any required matching funds for reimbursement for this agency provider type. (c) The DMH certification designation assigned to this type of agency is DMH/P. 4. DMH/Grants – (DMH/G): (a) Agency providers other than those designated as DMH/D and DMH/C that receive funds for services through grants from/through DMH must be certified. These include agency providers that receive funds directly from DMH but are not DMH/Cs designation or DMH/Ds. (b) The services for which this category of provider may be approved for DMH provider certification is determined by the applicable DMH programmatic staff. (c) The DMH certification designation assigned to this type of agency provider is DMH/G. 5. DMH/Home and Community-Based Waiver – (DMH/H): (a) Agency providers meeting requirements for certification to provide services under the Home and Community-Based Services-ID/DD Waiver must be certified by DMH. (b) All DMH/H agency providers must be enrolled as a DOM provider for ID/DD Waiver Services prior to service delivery. (c) Entities that may apply for this certification type include those already certified by DMH as well as other entities that provide the type of services offered through the ID/DD Waiver. (d) The DMH certification designation assigned to a provider is DMH/H. 6. DMH/IDD Community Support Program: 1915i – (DMH/I): (a) Agency providers meeting requirements for certification to provide services under the Home and Community-Based Services – IDD Community Support Program (CSP) (1915i) must be certified by DMH. (b) All DMH/I agency providers must be enrolled as a DOM provider for the IDD Community Support Program prior to service delivery. (c) Entities that may apply include those already certified by DMH, as well as other entities which provide the type of services offered through the IDD Community Support Program. (d) The DMH certification designation assigned to a provider is DMH/I. 7. DMH/Other Agency Providers Requirement or Option – (DMH/O): (a) Agency providers that receive funds from agencies other than DMH, and which do not also receive funds from DMH, may be required by that agency to obtain DMH certification. (b) DMH/O agency providers provide one (1) or more mental health or substance use disorder services in an area of need, as determined by DMH. (c) Except for any services allowed by DMH via prior approval, agencies which are certified as DMH/O providers cannot be certified to provide only one (1) (or a portion) of the required services for a DMH/C or a DMH/P provider. For example, a provider certified as a DMH/O provider to provide children and youth mental health services cannot be solely certified to provide children and youth day treatment services, because this is a required service for DMH/C providers. (d) The DMH certification designation assigned to an eligible provider which does not meet one (1) of the other provider types listed above and does not receive funds from DMH is DMH/O. 8. DMH/Department (DMH/D): (a) Agency community-based IDD providers operated under the authority and supervision of the Mississippi State Board of Mental Health must be certified. These are the community-based service locations operated by the state regional centers. (b) The DMH certification designation assigned to DMH-operated community-based IDD providers is DMH/D. B. The agency seeking certification by DMH should indicate, as part of the application process, which service(s) the agency is applying for and should seek consultation from DMH and/or the appropriate third-party payer source regarding eligibility questions. Once a prospective agency’s DMH provider certification application is complete, at the appropriate juncture in this process, DMH assigns the agency the appropriate DMH certification designation(s). C. Depending on factors such as provider type, the population(s) served, services/supports and/or programs offered, and/or funding source(s), providers may be issued more than one (1) certification designation.