Healthcare/Long-Term Care Financing

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXHIBIT A9: Requirements: Prevention Specialist

EXHIBIT A9. Requirements: Prevention Specialist State Abbr. Credential Title Minimum Degree Education Hours

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXHIBIT A8: Requirements: Peer Recovery Specialist

EXHIBIT A8. Requirements: Peer Recovery Specialist State Abbr. Credential Title Focus* Education Hours

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXHIBIT A7: Requirements: Clinical Supervisor

EXHIBIT A7. Requirements: Clinical Supervisor State Abbr. Credential Title Minimum Degree and/or Required Credential to Qualify*

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXHIBIT A6: Requirements: SAMHSA's SUD Technician Category

EXHIBIT A6. Requirements: SAMHSA's SUD Technician Category State Abbr. Credential Title Minimum Degree Education Hours

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXHIBIT A5: Requirements: SAMHSA's Category 1--Associate SUD Counselor

EXHIBIT A5. Requirements: SAMHSA's Category 1--Associate SUD Counselor State Abbr. Credential Title Minimum Degree Education Hours

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXHIBIT A4: Requirements: SAMHSA's Category 2--SUD Counselor

EXHIBIT A4. Requirements: SAMHSA's Category 2--SUD Counselor State Abbr. Credential Title Minimum Degree Education Hours

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXHIBIT A3: Requirements: SAMHSA's Category 3--Clinical SUD Counselor

EXHIBIT A3. Requirements: SAMHSA's Category 3--Clinical SUD Counselor State Abbr. Credential Title Minimum Degree Education Hours

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXHIBIT A2: Requirements: SAMHSA's Category 4--Independent SUD Counselor/Supervisor

EXHIBIT A2. Requirements: SAMHSA's Category 4--Independent SUD Counselor/Supervisor State Abbr. Credential Title Minimum Degree

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXHIBIT A1: SUD Treatment Career Ladder, by State

EXHIBIT A1. SUD Treatment Career Ladder, by State State Abbr. SAMHSA's Category 4 SAMHSA's Category 3 SAMHSA's Category 2

APPENDIX A: Licensing and Credentialing Detailed

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. APPENDIX A: Licensing and Credentialing Detailed Tables

The following tables are contained in this section:

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. REFERENCES

Alagoz, E., Hartje, J., & Fitsgerald, M. (2017). Strategies for Recruitment, Retention, and Development of the Substance Use Disorder Treatment and Recovery Services Workforce: A National Qualitative Report . Kansas City, MO: Addiction Technology Transfer Center National Office. Retrieved from https://attcnetwork.org/centers/network-coordina

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. CONCLUSIONS AND IMPLICATIONS

This study revealed that the SUD counseling profession faces multiple interconnected challenges associated with complex training, credentialing, and payment structures. Exhibit 15 summarizes some of the key factors that pose barriers and/or disincentives to entering this profession, developing one's career to its full potential, joining insuranc

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. CHALLENGES AND LIMITATIONS

This study faced several challenges and limitations, notably the lack of publicly available documentation on billing eligibility and reimbursement from insurance plans. Where documentation was available, it often lacked sufficient detail to determine SUD practitioners' ability to be reimbursed for specific service codes.

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. BILLING ELIGIBILITY AND REIMBURSEMENT

The Reimbursement Process Two types of universal claim forms are used by providers to submit claims to insurance companies for reimbursement of services: The CMS-1500 is used by non-institutional providers, such as individual-level practitioners in private or group practice. It is accepted by most insurance plans, including Medicaid, Medi

STATE APPROACHES TO LICENSING AND CREDENTIALING

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. STATE APPROACHES TO LICENSING AND CREDENTIALING SUBSTANCE USE DISORDER TREATMENT PROVIDERS

Career Ladder for the Substance Use Disorder Treatment Workforce In 2010, SAMHSA convened a stakeholder group to develop a career ladder and model SOPs for the SUD counseling workforce (SAMHSA, 2011). Exhibit 2 shows the five categories defined by the stakeholder group and a brief description of the educational attainment and supervision requi

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. METHODOLOGY

Environmental Scan The environmental scan consisted of a comprehensive literature review and in-depth, semi-structured interviews with nine key informants with expertise in the areas of licensing and credentialing and/or insurance reimbursement for SUD services. Literature Review

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. INTRODUCTION

Background

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. EXECUTIVE SUMMARY

Introduction

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. ACRONYMS

The following acronyms are mentioned in this report and/or appendices.

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION Nilufer Isvan, Rachael Gerber, David Hughes, Kristin Battis, and Evan Anderson Human Services Research Institute John O'Brien Technical Assistance Collaborative November 2019

Content by Keyword: Healthcare/Long-Term Care Financing