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Provider Registry:


REGISTRY OF CLINICAL EVALUATORS AND TREATMENT PROVIDERS

The Registry of Clinical Evaluators and Treatment Provider is a list of professionals who have been approved by DBHDD to provide clinical evaluations and/or substance abuse treatment for DUI Intervention Program

No person may conduct clinical evaluations or  provide substance abuse treatment required by the law without first having obtained approval by DBHDD and are currently listed as a Clinical Evaluator or treatment provider on the registry.

A. APPLICATION PROCESS

 
Applications to become CE & TP are located on this website at http://www.mop.uga.edu/cetp/application.aspx

All applications shall be submitted online and on forms prepared by DBHDD, following a procedure outlined by DBHDD.

The application shall include all information, fees, and documents designated by DBHDD and shall be truthful, accurate and complete.

DBHDD may require an applicant to submit additional information or verification that is reasonably related to making an approval determination. Applicants are required to submit applications electronically through the website and then download the PDF applications format from the website and completed fully and mail to DUI Intervention Program with all required documents.

 For Treatment Provider Only
The treatment provider must provide treatment services, specifying the ASAM level of care to be offered.

The treatment provider must demonstrate the capability to offer the specified level of care.

Treatment providers offering services at ASAM level II.1 or higher must be licensed by the state of Georgia’s Office of Regulatory Services as a drug treatment program(see http://dhr.georgia.gov/02/channel/0,2188,5696_6121173,00.html

Treatment providers offering only ASAM level I must designate a substance abuse professional who is responsible for direct clinical services.

B.  REQUIREMENTS FOR PLACEMENT ON THE REGISTRY

In order to be placed on the Registry of Clinical Evaluators and/or Treatment Provider,   individual must have one of the following combinations of professional licensure, credentials or experience.

Certification as an addiction medicine specialist by the American Society of Addiction Medicine (ASAM);

Certification is addiction psychiatry by the American Board of Psychiatry and Neurology;

State certification as a Certified Addiction Counselor - Level II by the Georgia Addiction Counselors Association (GACA)

National certification by the National Association of Alcoholism and Drug Abuse Counselors Association (NAADAC) or International Certification and Reciprocity Consortium (ICRC)

Certificate of Proficiency in the Treatment of Alcohol and Other Psychoactive Substance Use Disorders from the American Psychological Association’s College of Professional Psychology;

OR

Licensure under O.C.G.A. Title 43 as a physician, psychologist, professional counselor, social worker, marriage and family therapist, advanced nurse practitioner, or registered nurse with a bachelor’s degree in nursing

AND

Documented 2000 hours of clinical experience in the treatment of personal who are addicted to alcohol or other drugs with at least 500 hours of the above 2000 hours experience in the administration of substance abuse clinical evaluation

Documentation of at least 20 hours of continuing education in the field of substance abuse with not more than 5 of these hours consisting of in-service training.

Continuing education and in-service training must have been accomplished within a two-year period immediately prior to application.

C.        PLACEMENT ON THE  REGISTRY

A Clinical Evaluator and/or Treatment Provider applicant will not be placed on the registry until:

  • the application is reviewed and approved;
  • all fees associated with the application process are paid;
  • applicants have attended up to a one-day orientation training sponsored by DBHDD;
  • and received their forms packet.

Once approved, the Clinical Evaluator and/or Treatment Provider will be assigned a User Identification (UserID) also known as Provider Number.

The provider’s information will be included on the Department ’s website following approval.

Clinical Evaluator and/or Treatment Provider applicants may not begin to provide any services until your name appears on the registry.

D.        REGISTRY

DBHDD approves professionals, not programs, for the purpose of providing evaluations for DUI offenders.

The approved location is the address which will appear on the CE/TP registry listing on the website.

Each approved location will be given a Service Identification number.

The UserID/Provider Number will remain valid, as long as the provider remains in compliance with the Rules and Regulations.

Clinical Evaluators and/or Treatment Providers may not provide any services unless their name appears on the registry with no current suspension or revocation indicated.

Clinical Evaluators and/or Treatment Providers whose professional license or certification becomes suspended or surrendered must notify the Department within two days of that event. The Department may then suspend or delete the Evaluator’s listing.

E.        CHANGES TO THE REGISTRY

If the Clinical Evaluators and/or Treatment Providers wants to add, delete or make changes to a location, an “Update/Change Form” must be completed electronically and submit to DBHDD. It could also be printed, complete and submit through fax. The Update/Change Form is found on this website.    

Update and Changes to the registry will be visible on the website.

Update/Change forms are located on the provider website, CETP Online Reporting System website. Before you login into the system, scroll down to the bottom, you will see the forms.

F.  TRAINING and CONTINUING EDUCATION

Each Clinical Evaluators and/or Treatment Providers shall attend a one days of training and orientation sponsored by DBHDD within six months prior to being placed on the registry. Attendance at the new provider training can be counted toward the required 20 hours of continuing education for this program.

Each Clinical Evaluators and/or Treatment Providers shall complete, every two years, 20 contact hours of continuing education in substance abuse approved by DBHDD.  They will be responsible for maintaining and attending a minimum of 20 hours of continuing education.
 
DBHDD will approve no more than five hours of in-service training within a two-year period as counting toward the minimum 20 hours continuing education requirement.

Training hours must be documented. Clinical Evaluators and/or Treatment Providers need to maintain a copy of attendance certificates, or training records, which will be reviewed at the time of an audit and submitted when renewing their placement on the registry.

G.  ONGOING QUALIFICATIONS 

1.  Each Clinical Evaluators and/or Treatment Providers who is approved and placed on the registry of clinical evaluators shall continue to maintain the required initial qualifications and meet continuing education requirements, and upon request shall provide documentation showing evidence thereof. Upon renewal or reissuance of any applicable licensure, certification or credentialing, or upon request by the department, the Clinical Evaluators and/or Treatment Providers shall provide a copy of the renewed or reissued license, certification or credentialing to the department.

2.   Each Clinical Evaluators and/or Treatment Providers shall notify the department within 30 days of the occurrence if the evaluator's license, certification or credentialing is revoked, suspended, terminated, or lost for any other reason.  The Clinical Evaluators and/or Treatment Providers may not administer clinical evaluations or conduct treatment after the effective date of revocation, suspension, termination or other loss of license, certification, or credentialing.

3. If any provider fails to submit documentation as required, or fails to maintain the required license, certification, or credentialing, the approval as an Clinical Evaluators and/or Treatment Providers may be revoked, and the provider may be removed from the registry effective as of the date of the revocation, suspension, termination or other loss of licensure, certification, or credentialing.

H.  ACTIVE REGISTRY STATUS

The department will provide the Registry for public viewing on the Internet. Once placed on the Registry, an individual will continue to be listed in active Registry status unless one of the following events occurs, which event shall constitute a basis for revocation:

1.  The Clinical Evaluators and/or Treatment Providers fails to administer any clinical
      evaluation or provide treatment within any continuous twelve-month period,
      
2.  The Clinical Evaluators and/or Treatment Providers fails to render monthly activity
      report on the DBHDD CETP Online Reporting System,

3.   The Clinical Evaluators and/or Treatment Providers fails to comply with the
      requirements of DDHDD regulations,
     
4.  The Clinical Evaluators and/or Treatment Providers notifies the department that the
     he/she no longer wishes to remain on the registry,

5.  The Clinical Evaluators and/or Treatment Providers ceases to meet the qualifications listed above or

5.  The Clinical Evaluators and/or Treatment Providers provides false or misleading information to the department.

I.    REINSTATEMENT

If a Clinical Evaluators and/or Treatment Providers is removed from active registry status in accordance with any of the above, the provider approval may be revoked and the Clinical Evaluators and/or Treatment Providers may have to submit a new application in order to return to active Registry status, including an application fee, the amount of which shall be determined from time to time by the Board of Department of Behavioral Health & Developmental Disabilities. The department may also require the treatment provider to comply satisfactorily with a corrective action plan to correct any deficiencies under these rules or other requirements of the department.

 

 

 


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