24 MAC Pt. 3, R. 9.1
PCMHT (Provisional Certification) Application
Cite as 24 Miss. Admin. Code Pt. 3, R. 9.1
PCMHT (Provisional Certification) Application
A. To apply for temporary certification as a PCMHT, an individual should submit an
online application which contains the following:
1. PCMHT Application Form;
2. PCMHT Verification of Employment Form;
3. Official Transcript; and,
4. Application Fee - $90.00 fee
B. Application forms and application components (i.e., educational e-scripts and fees) are
submitted online as prescribed by the Mississippi Department of Mental Health via the
agency (DMH) website.