Author Archives: Rich Bowe

Waiver of In-Person Continuing Education Requirements to Promote Social Distancing for NJ Professionals

From Office of The Attorney General
Gurbir S. Grewal, Attorney General Division of Consumer Affairs
Paul R. Rodríguez, Acting Director.
For Further Information Contact Gema de las Heras (973) 504-6444

Division of Consumer Affairs Relaxes Continuing Education Rules for 16 Professional Boards and Committees Continuing Education Waiver: https://www.nj.gov/oag/newsreleases20/DCA-W-2020-04-CE-Waiver.pdf

To promote social distancing during the public health emergency related to COVID-19, Attorney General Gurbir S. Grewal and the Division of Consumer Affairs today announced that New Jersey is temporarily suspending rules for the sixteen of the professional boards and committees under the DCA’s supervision that ordinarily require in-person continuing education to maintain a professional license, certificate of registration, or certification.

Governor Phil Murphy issued an Executive Order declaring a public health emergency related to COVID-19 on March 9, 2020, and extended the public health emergency on April 7, 2020. The Governor can extend a public health emergency for up to 30 days at a time.

Under the policy announced today, the sixteen boards and committees will count all continuing education credits earned during the current public health emergency as in-person credits.

The affected boards and committees are:

  1. Acupuncture Examining Board
  2. Alcohol and Drug Counselor Committee
  3. Art Therapists Advisory Committee
  4. Board of Chiropractic Examiners
  5. Board of Dentistry
  6. Electrologists Advisory Committee
  7. Elevator, Escalator, and Moving Walkway Mechanics Licensing Board
  8. Fire Alarm, Burglar Alarm and Locksmith Advisory Committee
  9. Home Inspection Advisory Committee
  10. Board of Marriage and Family Therapy Examiners
  11. Board of Massage and Bodywork Therapy
  12. Board of Mortuary Science
  13. Board of Optometrists
  14. Perfusionists Advisory Committee
  15. Board of Pharmacy
  16. Board of Psychological Examiners

The Division of Consumer Affairs houses 51 professional boards, which oversee approximately 720,000 active licensed professionals, from accountants to doctors and plumbers to veterinarians. The Division’s other boards and committees have continuing education requirements, but do not require that any of the continuing education occur in person.

 

COVID-19 and Certification of Peer Recovery Support

Text of email on COVID-19 and Certification of Peer Recovery Support from the
N.J. Dept. of Human Services, Div. of Medical Assistance & Health Services

Division of Mental Health and Addiction Services

TO:                        Independent Clinics – Services – For Action
                              Managed Care Organizations – For Information
SUBJECT:              COVID-19 and Certification of Peer Recovery Support
Specialists
EFFECTIVE:           Immediately

BACKGROUND:     Based on current information, the Centers for Disease Control (CDC) considers COVID-19, otherwise known as the coronavirus, to be a serious public health concern.  Although the health risk is low at this time, the World Health Organization, the CDC and the New Jersey Department of Health are closely monitoring the progress of the disease and issuing warnings as necessary to ensure the health and safety of the general public.

In an effort to meet the needs of both our NJ FamilyCare Medicaid members and the provider healthcare community, the Center for Medicare and Medicaid Services (CMS) has granted the NJ Department of Human Service, Division of Medical Assistance and Health Services (DMAHS) an allowance to provide relief to the provider enrollment application process during this public health emergency.

 The qualifications of an individual requesting participation as a Peer Recovery Specialist, otherwise known as a peer, in an independent clinic setting include individuals having one (1) year lived experience or have had worked in the addictions field for 2 to 4 years; (2) certification as either a Certified Peer Recovery Specialist (CPRS), a Certified Recovery Support Professional (CRSP), a Nationally Certified Peer Recovery Support Specialist (NCPRSS) or certification by the International Certification and Reciprocity Consortium (IC&RC) with a credential in peer recovery.

 Independent clinic providers are having difficulties meeting the service needs of individuals with substance use disorders due to certification requirements for peer recovery support specialists.  In order to offer relief to the provider enrollment process for these providers during the COVID-19 state of emergency, the DMAHS is temporarily amending the enrollment requirements for this provider group.

 From the N.J. Dept. of Human Services, Div. of Medical Assistance & Health Services

Division of Mental Health and Addiction Services

 ACTION:      Effective Immediately, and only for those providers enrolling peer recovery support specialists with one (1) year lived experience or having worked in the addictions field for 2 to 4 years, but lacking certification as a CPRS, CRSP, NCPRSS or certification by the International Certification and Reciprocity Consortium (IC&RC) with a credential in peer recovery, the 7/1/20 requirement for peers having obtained one of these certifications shall be temporarily suspended until January 1, 2021 to allow peers who are pending certification time to complete the certification class room and/or testing requirements.

Independent clinics should continue to complete and sign the Peer Recovery Support Specialist attestation enclosed with the Peer Recovery Support Specialist Addendum.  Clinics must document the absence of the required certification for the enrolling Peer Recovery Support Specialist on the attestation and shall follow-up with the DXC Technology Provider Enrollment Unit prior to January 1, 2021 to provide the required certification.

If you have any questions concerning this Medicaid Alert, please contact DXC Technology Provider Services at 1-800-776-6334.

Delay the requirement for the IC&RC Peer Recovery written exam until at least January 2021 for all CPRS applicants.

The Certification Board, Inc. approved the following motion late last week.

-Richard J. Bowe, LPC,LCADC,CCS- Executive Director

  • Motion Passed: Immediately delay the requirement for the IC&RC Peer Recovery written exam until at least January 2021 for all CPRS applicants.
  • Should the regulations change prior to January 2021, the Board will make announcements on our home page.
  •  This means that all CPRS applicants from October 1, 2019 on will not be required to take the IC&RC Peer Recovery exam.  Completed applications, lacking the exam, will be sent late this week or next week when we expect the delayed (COVID Related) delivery of certificates to our office to be printed.  

Medicaid Alert

Published by the N.J. Dept. of Human Services,
Div. of Medical Assistance & Health Services
Division of Mental Health and Addiction Services
MA-2020-XX April 2020

TO: Independent Clinics – Services – For Action
Managed Care Organizations – For Information

SUBJECT: COVID-19 and Certification of Peer Recovery Support Specialists

EFFECTIVE: Immediately

BACKGROUND: Based on current information, the Centers for Disease Control (CDC) considers COVID-19, otherwise known as the coronavirus, to be a serious public health concern. Although the health risk is low at this time, the World Health Organization, the CDC and the New Jersey Department of Health are closely monitoring the progress of the disease and issuing warnings as necessary to ensure the health and safety of the general public.

In an effort to meet the needs of both our NJ FamilyCare Medicaid members and the provider healthcare community, the Center for Medicare and Medicaid Services (CMS) has granted the NJ Department of Human Service, Division of Medical Assistance and Health Services (DMAHS) an allowance to provide relief to the provider enrollment application process during this public health emergency.

The qualifications of an individual requesting participation as a Peer Recovery Specialist, otherwise known as a peer, in an independent clinic setting include individuals having one (1) year lived experience or have had worked in the addictions field for 2 to 4 years; (2) certification as either a Certified Peer Recovery Specialist (CPRS), a Certified Recovery Support Professional (CRSP), a Nationally Certified Peer Recovery Support Specialist (NCPRSS) or certification by the International Certification and Reciprocity Consortium (IC&RC) with a credential in peer recovery.

Independent clinic providers are having difficulties meeting the service needs of individuals with substance use disorders due to certification requirements for peer recovery support specialists. In order to offer relief to the provider enrollment process for these providers during the COVID-19 state of emergency, the DMAHS is temporarily amending the enrollment requirements for this provider group.

ACTION: Effective Immediately, and only for those providers enrolling peer recovery support specialists with one (1) year lived experience or having worked in the addictions field for 2 to 4 years, but lacking certification as a CPRS, CRSP, NCPRSS or certification by the International Certification and Reciprocity Consortium (IC&RC) with a credential in peer recovery, the 7/1/20 requirement for peers having obtained one of these certifications shall be temporarily suspended until January 1, 2021 to allow peers who are pending certification time to complete the certification class room and/or testing requirements.

Independent clinics should continue to complete and sign the Peer Recovery Support Specialist attestation enclosed with the Peer Recovery Support Specialist Addendum. Clinics must document the absence of the required certification for the enrolling Peer Recovery Support Specialist on the attestation and shall follow-up with the DXC Technology Provider Enrollment Unit prior to January 1, 2021 to provide the required certification.

If you have any questions concerning this Medicaid Alert, please contact DXC Technology Provider Services at 1-800-776-6334.

Distance Learning on line courses listed within the DCA-ADCC Regulations for LCADC/CADC’s

The Certification Board, Inc. will accept Distance Learning on line courses listed within the DCA-ADCC Regulations for LCADC/CADC’s, for all of our recertification credentials as long as they course content fits within the specific Domains for credential: Courses and programs approved by a regionally accredited institution of higher learning; the APCBNJ or any other IC&RC member board; NAADAC, the Association for Addiction Professionals; American Society on Addiction Medicine; National Board of Certified Counselors; the American Counseling Association; the American Psychological ALCOHOL & DRUG COUNSELOR COMMITTEE    LAW AND PUBLIC SAFETY  Chapter 34C  Page 43 of 55  Last Revision Date: 12/02/2019    Association; the American Psychiatric Association; the National Association of Social Workers; the American Association for Marriage and Family Therapy; the National Council on Compulsive Gambling; and the American Compulsive Gambling Counselor Certification Board.<

HIPAA Enforcement Discretion for Telehealth during COVID-19 Emergency

We received the following email which explains what is being recommended and allowed as part of HIPAA Enforcement Discretion for Telehealth during COVID-19 Emergency.

Sent: Tuesday, March 17, 2020 5:18 PM
Subject: [EXTERNAL] Notification of Enforcement Discretion for Telehealth Remote Communications during the COVID-19 Nationwide Public Health Emergency

Notification of Enforcement Discretion for Telehealth Remote Communications during the COVID-19 Nationwide Public Health Emergency

We are empowering medical providers to serve patients wherever they are during this national public health emergency. We are especially concerned about reaching those most at risk, including older persons and persons with disabilities. – Roger Severino, OCR Director.

The Office for Civil Rights (OCR) at the Department of Health and Human Services (HHS) is responsible for enforcing certain regulations issued under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended by the Health Information Technology for Economic and Clinical Health (HITECH) Act, to protect the privacy and security of protected health information, namely the HIPAA Privacy, Security and Breach Notification Rules (the HIPAA Rules).

During the COVID-19 national emergency, which also constitutes a nationwide public health emergency, covered health care providers subject to the HIPAA Rules may seek to communicate with patients, and provide telehealth services, through remote communications technologies.  Some of these technologies, and the manner in which they are used by HIPAA covered health care providers, may not fully comply with the requirements of the HIPAA Rules.

OCR will exercise its enforcement discretion and will not impose penalties for noncompliance with the regulatory requirements under the HIPAA Rules against covered health care providers in connection with the good faith provision of telehealth during the COVID-19 nationwide public health emergency.  This notification is effective immediately.

A covered health care provider that wants to use audio or video communication technology to provide telehealth to patients during the COVID-19 nationwide public health emergency can use any non-public facing remote communication product that is available to communicate with patients.  OCR is exercising its enforcement discretion to not impose penalties for noncompliance with the HIPAA Rules in connection with the good faith provision of telehealth using such non-public facing audio or video communication products during the COVID-19 nationwide public health emergency.  This exercise of discretion applies to telehealth provided for any reason, regardless of whether the telehealth service is related to the diagnosis and treatment of health conditions related to COVID-19.

For example, a covered health care provider in the exercise of their professional judgement may request to examine a patient exhibiting COVID- 19 symptoms, using a video chat application connecting the provider’s or patient’s phone or desktop computer in order to assess a greater number of patients while limiting the risk of infection of other persons who would be exposed from an in-person consultation.  Likewise, a covered health care provider may provide similar telehealth services in the exercise of their professional judgment to assess or treat any other medical condition, even if not related to COVID-19, such as a sprained ankle, dental consultation or psychological evaluation, or other conditions.

Under this Notice, covered health care providers may use popular applications that allow for video chats, including Apple FaceTime, Facebook Messenger video chat, Google Hangouts video, or Skype, to provide telehealth without risk that OCR might seek to impose a penalty for noncompliance with the HIPAA Rules related to the good faith provision of telehealth during the COVID-19 nationwide public health emergency.  Providers are encouraged to notify patients that these third-party applications potentially introduce privacy risks, and providers should enable all available encryption and privacy modes when using such applications.

Under this Notice, however, Facebook Live, Twitch, TikTok, and similar video communication applications are public facing, and should not be used in the provision of telehealth by covered health care providers.

Covered health care providers that seek additional privacy protections for telehealth while using video communication products should provide such services through technology vendors that are HIPAA compliant and will enter into HIPAA business associate agreements (BAAs) in connection with the provision of their video communication products.  The list below includes some vendors that represent that they provide HIPAA-compliant video communication products and that they will enter into a HIPAA BAA.

  • Skype for Business
  • Updox
  • VSee
  • Zoom for Healthcare
  • Doxy.me
  • Google G Suite Hangouts Meet

Note: OCR has not reviewed the BAAs offered by these vendors, and this list does not constitute an endorsement, certification, or recommendation of specific technology, software, applications, or products. There may be other technology vendors that offer HIPAA-compliant video communication products that will enter into a HIPAA BAA with a covered entity.  Further, OCR does not endorse any of the applications that allow for video chats listed above.

Under this Notice, however, OCR will not impose penalties against covered health care providers for the lack of a BAA with video communication vendors or any other noncompliance with the HIPAA Rules that relates to the good faith provision of telehealth services during the COVID-19 nationwide public health emergency.

OCR has published a bulletin advising covered entities of further flexibilities available to them as well as obligations that remain in effect under HIPAA as they respond to crises or emergencies at https://www.hhs.gov/sites/default/files/february-2020-hipaa-and-novel-coronavirus.pdf – PDF.

Guidance on BAAs, including sample BAA provisions, is available at https://www.hhs.gov/hipaa/for-professionals/covered-entities/sample-business-associate-agreement-provisions/index.html.

Additional information about HIPAA Security Rule safeguards is available at https://www.hhs.gov/hipaa/for-professionals/security/guidance/index.html.

HealthIT.gov has technical assistance on telehealth at https://www.healthit.gov/telehealth.

Required Courses for LCADC-CADC-CDA

All Required Preapproved Courses for LCADC/CADC . CDA in Green.

Go to Educational Manual for Learning Objectives to be covered: http://certbd.org/site/wp-content/uploads/CADC_EducationalManual.pdf

C101 Initial Interviewing- 6 hours
C102 Biopsychosocial Assessment – 12 hours (include old C209)
C103 Diagnostic Summaries- 12 hours (include old C109)
C104 Differential Diagnosis -12 hours (include old C108)

C105 Pharmacology & Physiology- 6 hours

C107 Compulsive( Disordered) Gambling – 6 hours

C201 Introduction to Counseling- 6 hours
C202 Counseling Skills – 6 hours
C203 Crisis Intervention – 6 hours
C204  Addiction Focused Counseling- 18 hours (include old C207 & C208)
C205 Group Counseling – 6 hours
C206 Family Counseling  – 12 hours (include old C106)
 
C 301 Community Resources – 18 hours (see manual)
C 302 Consultation ( in Case Management) – 18 hours (see manual)
C303 Documentation – 12 hours (see manual)
C304 HIV and Resources – 6 hours
 
C401 Addiction Recovery – 6 hours
C402 Psychological Client Education – 6 hours
C403Biochemical/ Medical Client Education- 18 hours ( include old C408&C409)
C404 Sociocultural Client Education- 6 hours
C405 Addiction Recovery & Family Psychological Education- 6 hours
C406 Biochemical and Sociocultural Family Education- 6 hours
C407 Community and Professional Education- 6 hours

C501 Ethical Standards – 6 hours
C502 Legal Standards- 6 hours
C503 Cultural Competency – 6 hours
C504 Professional Growth  – 6 hours
C505 Personal Growth – 6 hours
C506 Dimensions of Recovery  – 6 hours
C507 Supervision – 6 hours
C508 Community Involvement  – 6 hours
C509 Consultation ( Professional Standards)  – 6 hours
Total clock hours – 270 hours