DHS Licensing

Mental Health Programs New Provider Information

New Provider Information

OMHSAS oversees the licensure of a variety of mental health and support services to include the following:

    A distinct unit of a general hospital that is engaged in providing 24/7 acute short term psychiatric services on an inpatient basis to individuals of all ages.

    A nonresidential treatment setting in which psychiatric, psychological, social, educational, and other related services are provided under medical supervision. It is designed for the evaluation and treatment of individuals with mental illness or emotional disturbance. Psychiatric outpatient services are provided on a planned and regularly scheduled basis.

    Partial Hospitalization is a nonresidential treatment modality that serves individuals over age 14 in adult partial or individuals up to 14 in child/adolescent partial, which includes psychiatric, psychological, social, and vocational elements under medical supervision. It is designed for individuals with moderate to severe mental or emotional disorders. Individuals in partial hospitalization require less than 24-hour care, but more intensive and comprehensive services than are offered in outpatient treatment programs. Partial hospitalization is provided on a planned and regularly scheduled basis for a minimum of 3 hours, but less than 24 hours in any one day.

    • A recovery-oriented service offered individually or in groups which is predicated upon the principles, values and practice standards of the International Center for Clubhouse Development (ICCD), United States Psychiatric Rehabilitation Association (USPRA) or other Nationally-recognized professional Psychiatric Rehabilitation Services association.
    • There are three types of Psychiatric Rehabilitation Services including Site Based, Mobile Psychiatric Rehabilitation and Clubhouse).
    • Site Based Psychiatric Rehabilitation services are provided in a facility to an individual or group. When a group service is provided in a PRS facility, group size may vary as long as the requirement under §  5230.52(c) (relating to general staffing requirements) is met.
    • Mobile Psychiatric Rehabilitation services are provided individually or in a group of no more than five individuals in the community.  Group services delivered in the community shall be limited to individuals who have IRP goals that specify the need for services in the community.
    • Clubhouse A psychiatric rehabilitation service based on the work ordered day and certified by the Clubhouse International.

    An immediate, crisis-oriented service designed to ameliorate or resolve precipitating stress; provided to adults, adolescents and children and their families who exhibit an acute problem of disturbed thought, behavior, mood or social relationships.  Includes intervention, assessment, counseling, screening, and disposition services that are commonly considered appropriate to the provision of mental health crisis intervention. Crisis intervention services including telephone, walk-in, mobile, medical mobile and crisis residential.

    • Telephone Crisis Intervention Service is a 24 hour a day, 7 days a week “Hotline” service available in each County. This is where you call a Crisis Hotline and talk to a trained individual about the crisis you or someone you know is experiencing. The Crisis staff provide appropriate counseling, consultation and referral services.
    • Walk-In Crisis Service is a designated facility that individuals in crisis can go to meet with and talk to a trained crisis worker about their crisis. Services include assessment, information and referral, crisis counseling and follow up.
    • Mobile Crisis Service is a service where the crisis worker (or team) comes to where the person in crisis is at (home, community) to assess the need for further intervention or treatment. Assessment, counseling, problem resolution, referral and follow up are available.
    • Medical-Mobile Crisis Services are the same as the services provided through mobile crisis services but is a team delivered service that includes a person authorized to administer medication and a mental health professional or crisis worker. This is a supplement to, not a substitute for mobile crisis services.

    Small facilities that provide residential accommodation and continuous supervision for individuals in crisis.  This service provides a temporary place to stay for individuals who need to be removed from a stressful environment or who need a place to stay until other arrangement can be made.  Average length of stay is five days for up to eight individuals.

    An array of therapeutic interventions and supports provided to a child, youth or young adult in the home, school or other community setting.  Service types can include individual, Applied Behavioral Analysis (ABA), and/or group.

    A team delivered service rendered in the home and community, which is designed to integrate mental health treatment, family support services, and case management so families may continue to care for their children and adolescents with serious mental illness or emotional disturbances at home.

    A Private Psychiatric Hospital is an institution, other than a general hospital, not directly operated or controlled by the Department that is engaged in providing acute short-term psychiatric services on an inpatient basis to children and adults with acute or chronic mental illness.

    CRRS are specific to both adults and children.  CRRS for adults are transitional residential programs in community settings for adults with chronic psychiatric disability.  Services provide housing, personal assistance, and psychosocial rehabilitation to clients in non-medical settings.  There are two levels of care for adults, full or partial. Level of care is distinguished by the level of functioning of the individuals served and the intensity of rehabilitation and training services provided by CRRS staff to the individuals.  In both levels of care, the provider acts as landlord.

    CRRS for Children are called Host Homes.  CRR-HH are structured residential programs in private residences of a family other than the child’s natural parents for children with psychiatric or emotional disability.  They provide housing, personal assistance, and psychosocial rehabilitation to children in non-medical family home settings.

    A highly structured therapeutic residential mental health treatment facility designed to serve individuals 18 years of age or older, with evidence of a severe psychosocial disability as a result of serious mental illness,  who are eligible for hospitalization but who can receive adequate care in an LTSR.  LTSR provides treatment & residential services.

    A highly structured therapeutic residential mental health treatment facility designed to provide psychiatric stabilization which will facilitate reintegration into the community.  Average length of stay is 30 days.

    ACT is a team delivered service provided by a group of multidisciplinary mental health staff who work as a team and provide the majority of the treatment, rehabilitation, and support services the consumers need to achieve their goals. The only mental health service the team cannot provide is when the individual served requires inpatient treatment. ACT teams consist of a psychiatrist, registered nurses, mental health professionals and workers and staff specifically designated as a Housing Specialist, Peer Specialist and Substance Abuse specialist.

    Peer Support Services are specialized therapeutic interactions conducted by self-identified current or former consumers of behavioral health services who are trained to offer support and assistance in helping others in the recovery and community-integration process.

    Case Management services are designed to assist targeted adults with serious and persistent mental illness and targeted children with a serious mental illness or emotional disorder and their families, to gain access to needed resources, such as medical, social, educational and other services.  Case Management includes intensive case management, resource coordination, and blended case management.  The type of case management an individual receives depends on intensity and frequency of contacts needed by the individual.  

    Licensing Process

    Prospective providers must obtain licensure or approval by OMHSAS to provide one of the services listed above. The Application Instructions document below can be used as a checklist to ensure all necessary documents are gathered and completed prior to submission of your application materials. Once all of the necessary documents are compiled prospective providers should submit them to the resource account listed on the application instructions document.  After the documents submitted to the resource account are reviewed for completeness they will be forwarded to the applicable regional OMHSAS field office.  The regional Field Office that oversees the county in which the agency will be located will assist with reviewing and processing new applications.  They will ensure any additional documents needed are obtained and review and approve the service description.  The process to obtain a license is not complete until the field office can ensure compliance with the applicable regulation through additional program documentation review and completion of a site visit.  

    Additional Considerations

    • Before a new application is submitted, a prospective provider should also reach out to the County MH/ID Administrator of the county in which the agency will be located, to discuss the program they are seeking licensure for and to obtain a county letter of support/acknowledgement.  
    • If a prospective provider plans to enroll in Medicaid for payment, the  provider should also reach out to the applicable Behavioral Health Managed Care Organization to obtain information on becoming an in network provider. This is separate from obtaining a license through The Department and licensure by the Department does not guarantee a provider will be accepted into any payers network.  A perspective provider who plans to enroll in Medicaid will do so through the provider PROMISe portal which is listed below in new provider application resources.  A perspective provider will need a copy of their certificate of compliance (license) before enrolling in PROMISe as it is needed to complete enrollment. 
    • Helpful regulations and resources can be found below as well as on the Regulation and Standards page of this site.  Prospective providers should review the regulations below as well as the specific program regulations/standards listed above for their specific program types.  Any questions related to regulations, standards, or licensure can be directed to the applicable regional field office.