In reply, please refer to: File: state of hawaii department of health

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NEIL ABERCROMBIE

GOVERNOR OF HAWAII

LORETTA J. FUDDY, A.C.S.W., M.P.H.

DIRECTOR OF HEALTH

In reply, please refer to:
File:

STATE OF HAWAII

DEPARTMENT OF HEALTH

CHILD AND ADOLESCENT MENTAL HEALTH DIVISION

3627 KILAUEA AVENUE, ROOM 101

HONOLULU, HAWAII 96816

September 19, 2012

To: All Contracted Agencies
From: Daniel Ulrich, M.D.

CAMHD Medical Director

Subject: Supervising Mental Health Professional
CAMHD is issuing this clarification to the Child and Adolescent Mental Health Performance Standards (CAMHPS) supervision and credentialing requirements. CAMHD will allow a credentialed Mental Health Professional (MHP) to apply for a Supervising MHP waiver that will allow the Supervising MHP to provide clinical supervision to MHPs and Paraprofessionals. The Supervising MHP SHALL NOT replace the program Qualified Mental Health Professional (QMHP) who oversees all clinical functions in the program. Medicaid billing requirements mandate that all programs must be overseen by a QMHP.
An MHP who meets the following requirements may apply for a Supervising MHP waiver:

Document 5 years experience in mental health treatment with children/adolescents (this may include practicum).
Provide 3 written references from QMHP level individuals who can attest to the MHPs ability to supervise. This must include a letter from the program QMHP who will be providing on-going supervision.
Documentation and description of the supervisory training received. This may include formal coursework, continuing education workshops, informal mentoring, independent reading, supervision of supervision, etc.

Submit documentation and a cover letter to the CAMHD Credentialing Committee. Once approved by CAMHD, the Supervising MHP must continue to meet the MHP supervision requirements described on page 17 – 4 hours of supervision by the QMHP per month, including at least one hour of individual supervision. Up to 3 hours/month may be group supervision. The group supervision requirement may be met by participating in a peer review group for QMHPs. All supervision shall be documented in the Supervising MHPs supervision file.

The CAMHD credentialing committee will review all Supervising MHP waiver requests on a monthly basis. Supervising MHP waivers will be re-reviewed along with the individual’s re-credentialing review.
Because CAMHD is now following a revised version of our performance standards (the CAMHPS or Orange Book), waivers issued under our old standards - the Interagency Performance Standards and Practice Guidelines (IPSPG or Purple Book) – are no longer in effect. Anyone wishing to be recognized as a Supervising MHP must re-apply for a waiver of the current standards by January 1, 2013.
We appreciate your compliance with this clarification. Should you have any questions, please contact Paula Quealy at 808 733-9008 or email her at Paula.Quealy@doh.hawaii.gov.