LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 613.01 Credentialing / Re-credentialing of LAC DMH Clinician Employees
 
Policy Category:  Administrative
Distribution Level:  Directly Operated
Responsible Party:  Human Resources
 
Approved by Marvin J Southard, DSW, Director, on May 31, 2013
 
I.  PURPOSE
 
To establish an internal credentialing process to ensure that clinicians presently employed or being considered for employment meet the standards of employment established by the Los Angeles County-Department of Mental Health (LAC-DMH).

To outline the standards, requirements and guidelines for the credentialing/re-
credentialing of LAC-DMH Clinician employees.
 
II.  DEFINITIONS
 
Clinician Employee: Employee who is a licensed, associate, registered, and/or waivered clinician, including:

Licensed Clinical Social Worker: A prospective or current employee who possesses a valid and active license issued by the California Board of Behavioral Sciences (BBS).

Associate Clinical Social Worker: A. prospective or current employee who possesses a valid and active Associate Clinical Social Worker registration with the California BBS.

Licensed Marriage and Family Therapist (MFT): A prospective or current employee who possesses a valid and active license issued by the California BBS.

MFT Intern: A prospective or current employee who possesses a valid and active MFT intern registration with the California BBS.

Licensed Psychiatric Technician: A prospective or current employee who possesses a valid and active license issued by the California Board of Vocational Nursing and Psychiatric Technicians.

Licensed Psychologist: A prospective or current, employee who possesses a valid and active license issued by the California Board of Psychology

Waivered Psychologist: A prospective or current employee who possesses a valid and active waiver granted by the California Department of Mental Health.

Registered Nurse: A prospective or current employee who possesses a valid and active license issued by the California Board of Registered Nursing.

Physician: A prospective or current employee who possesses a valid and active license issued by the California Medical Board and has completed a residency training program accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Board Certified Physician: A prospective or current employee who possesses a valid and active license issued by the California Medical Board, has completed an ACGME accredited residency training program, and is certified by the American Board of Psychiatry and Neurology in general psychiatry, a psychiatric sub-specialty, or certified by the American Board of Medical Specialties (ABMS).

Prospective Clinician Employee: Licensed, associate, registered and/or waivered clinicians who have been selected from a certification list for possible LAC-DMH employment.

Credentialing: The formal process of collecting and verifying the professional credentials and qualifications of each clinician employee or candidate for employment and evaluating them to determine whether the clinician meets or continues to meet the minimum and/or additional accreditation criteria set forth in Sections of this policy.

Re-credentialingRe-verification every three years that the clinician employee continues to meet LAC-DMH credentialing criteria.

Credentialing Coordinator (CC): LAC-DMH staff person who coordinates all processes required to credential/re-credential clinician employees.

Credentialing Applicant: Licensed, associate, registered and/or waivered clinicians who are either a current non-credentialed clinician employee, a clinician employee requiring re-credentialing, or a prospective employee.

Credentialing Packet: The credentialing packet contains the credentialing application, credentialing requirements, and instructions.

Credentialing Timeframe: Credentialing ordinarily should be completed within 5-30 business days for prospective clinician employees and within 30 calendar days for current employees after the completed credentialing packet is received by the CC.

Credentialing Materials: All materials collected through the primary source verification process, including the completed credentialing application and the CC's summary report of the findings.

Credentialing Review Committee (CRC): The body authorized by the LAC-DMH Director to determine if current and prospective clinician employees meet or continue to meet departmental credentialing criteria.

 
III.  POLICY
 
Only clinician employees or prospective clinician employees who meet the credentialing criteria established by this policy shall be approved for accreditation by LAC-DMH.
 
IV.  PROCEDURES
 
V.  AUTHORITIES
 
Department of Mental Health Policy No. 613.02, Credentialing Review Committee
Department of Mental Health Policy No. 605.01, Discipline
Department of Mental Health Policy No. 600.08, Professional Licenses
Department of Mental Health Policy No. 112.04, Employees Ability to Provide Goods and Services Under Federally Funded Health Care Programs