24 MAC Pt. 3, R. 15.5
Verification of Work Experience
Cite as 24 Miss. Admin. Code Pt. 3, R. 15.5
Verification of Work Experience
A. PCMHT, PCIDDT, PCSUT and PCCSS (provisional certification) applications do not include
documentation of completed work experience. (Even though relevant work experience is not
submitted at the time of provisional certification application, it is strongly recommended that
individuals applying for provisional certification review the work experience requirement for
full certification for the credentialing program for which they are applying to ensure their ability
to meet the work experience requirement at the time of application for upgrade to full
certification. An applicant’s approval for provisional certification does not automatically
guarantee approval for upgrade to full certification.)
B. Applications for full certification (CMHT, CIDDT, CSUT and CCSS) must document
appropriate work experience.
C. LA Program Participant applications must include documentation of appropriate work
experience.
D. Individuals applying directly for LA licensure (bypassing the LA Program Participant phase)
must include documentation in the licensure application of appropriate work experience.
E. All submitted work experience must be submitted on the appropriate form prescribed by the
Division as part of the application form. The prescribed form must be completed by a “Qualified
Supervisor,” as defined in this document. The following chapters in this document (in
conjunction with the “Glossary”) contain the definition of “Qualified Supervisor,” respective to
each DMH professional credentialing program:
1. DMH Mental Health Therapist (Chapter 3);
2. DMH Intellectual and Developmental Disabilities Therapist (Chapter 4);
3. DMH Community Support Specialist (Chapter 5);
4. DMH Licensed Administrator (Chapter 6);
5. DMH Substance Use Therapist (Chapter 7); and,
6. DMH Peer Support Specialist (Chapter 8).
F. A record of each designated “Director of Community Support Services,” “Director of ID/DD
Waiver Support Coordination,” IDD Targeted Case Management Supervisor, and Wraparound
Facilitation Supervisor (as needed) is maintained by the Division of PLACE.
G. The applicant must report the required amount of full-time work experience in the required
field(s)/area(s) for the respective credentialing program for which he/she is making
application. An applicant who reports part-time work experience and/or who reports work
experience which combines experience earned in the required field(s)/area(s) with experience
earned in a separate field/area must illustrate through the application process that he/she has
the required amount of full-time work experience in the required field(s)/area(s).
H. An applicant is not permitted to complete his/her own Verification of Work Experience Form.
I. A Qualified Supervisor should not be a member of the individual’s immediate family.
J. Applicants need to report the necessary amount of full-time relevant work experience; a
lifetime of work experience is not necessary.
K. Volunteer work does not count.
L. If relevant work experience is accrued under more than one supervisor, a separate Verification
of Work Experience Form must be submitted for each position.
M. Due to the confidential nature of the submitted Verification of Work Experience Form,
information completed by the supervisor will not be shared with the applicant.