Pa. Code 5221.21

Organizational requirements

This section establishes organizational requirements for intensive case management (ICM) providers in Pennsylvania, requiring that the ICM program operate as a distinct unit within the enrolled provider organization. It mandates that supervision of the ICM unit and individual case managers be performed only by qualified mental health professionals, specifying minimum education and experience credentials for both supervisors and non-professional case managers. Compliance staff should ensure that all ICM staff meet the applicable degree, licensure, and experience thresholds and that supervision records are maintained on file.

55 Pa. Code § 5221.21 - Organizational requirements 

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Intensive case management providers shall ensure that the
 following organizational requirements are met:

(1)
 The intensive case management program
 shall be organized or identified as a separate unit within the organization of
 the enrolled provider.

(2)
 Overall
 supervision of the intensive case management unit, as well as individual
 supervision of intensive case managers, shall be carried out only by mental
 health professionals. To qualify as a mental health professional under this
 chapter, an individual shall have at least one of the following: 
 
(i)
 A master's degree in social work,
 psychology, rehabilitation, activity therapies, counseling or education and 3
 years mental health direct care experience.

(ii)
 A bachelor's degree in sociology, social
 work, psychology, gerontology, anthropology, political science, history,
 criminal justice, theology, counseling, education, or be a registered nurse,
 and 5 years mental health direct care experience, 2 of which shall include
 supervisory experience.

(iii)
 A
 bachelor's degree in nursing and 3 years mental health direct care
 experience.

(3)
 Intensive
 case managers who are not mental health professionals shall: 
 
(i)
 Have one of the following: 
 
(A)
 A bachelor's degree with major course
 work in sociology, social work, psychology, gerontology, anthropology,
 political science, history, criminal justice, theology, nursing, counseling or
 education.

(B)
 Be a registered
 nurse.

(C)
 A high school diploma
 and 12 semester credit hours in sociology, social welfare, psychology,
 gerontology or other social science and 2 years experience in public or private
 human services with 1 year in direct client contact.

(D)
 A high school diploma and 5 years of
 mental health direct care experience in public or private human services with
 employment as an intensive case management staff person prior to April 1,
 1989.

(ii)
 Be supervised
 by a mental health professional. A record of supervision shall be on
 file.

Notes

55

 Pa. Code §
 
5221.21

This section cited in 55 Pa. Code §
 
5221.3
 (relating to
 definitions).

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