To Add a certification on the Certification Information screen:
Click the orange Add button
Select the appropriate type in the Certification Type drop down box
Certification requirements are determined by provider type selected during Start Enrollment
If a certification is selected, supporting documents must be uploaded
Enter your certification number in the Certification Number box. (Not required for all certification types)
In the Effective Date select from the calendar icon or type in this format ‘01/01/2001’ the date the certificate became effective
In the Expiration Date select from the calendar icon or type in the above format the date the certificate expires
Click the Add to Grid button below the grid to add, or the Discard button above the grid to clear the fields without adding
To enter additional certifications, repeat the above steps
To View/Change a Certification record:
On the Certification Information screen, under the Action column, click the Edit icon
Previously entered field information pre-populates below the grid
View and/or edit the desired fields
Click the Add to Grid button below the grid to add, or the Discard button above the grid to clear the fields without adding
To Delete a record:
On the Certification Information screen, under the Action column, click the red Delete icon
A Confirm Delete pop up will ask, “Are you sure you want to delete the selected record?”
Click the No button to return to the screen and save the previous information
Click the Yes button to delete the entire record and return to the screen
Required Fields:
Please note that all fields marked with an asterisk (*) are required fields that must be populated in order to move forward. If they are left blank you will receive an error message
Additional Notes:
All supporting documents will be uploaded on the Document Upload page
Name on the certification must match the Provider Name or the DBA name. Names are manually checked by DMS during Review
Substance Use Disorder (SUD) PT 03 Behavioral Health Service Organization (BHSO) Tier Selections:
There are three tiers available for selection: Tier 1 Mental Health, Tier 2 Outpatient SUD, and Tier 3 Residential SUD. SUD certifications only required for PT 03. Certification is required for PT 03 if selected Yes on 1.1 Basic Information screen to question “Are you current accredited by a Nationally Recognized Accreditation Organization?”
Must select at least one of these certifications: 08 Joint Commission, 14 Commission on Accreditation of Rehab Facility, 18 Council on Accreditation of Services for Families and Children, or Other.
Certification must be Active.
Enter Effective/Expiration Dates of Accreditation
Must upload proof of certification.
Special Characters:
The following Special Characters cannot be used in the situations below. Field properties will not allow the following characters in the box:
For First Name, Business Name, Other name (if any): | + \ '
For Last Name field: | + \ ', and numbers are not allowed
For Comment Boxes: < > ^ ~ ` + | \ / ¬ £
For Address fields: | + ! @ # $ ^ * ( ) ? / \ " < > & : ; _
If you copy and paste an excluded special character, an error message will display after clicking Save & Next
Remove excluded characters from pasted information or uploaded text in the document
Save & Next:
When finished, click Save & Next to save the information and proceed to the next page
Click Back to go to the previous screen without saving
Click Exit to return to the dashboard without saving
Note that if the information is not saved, you will lose the data on the current page