Section 24-6-4-4 - Upgrade Application for Licensed Clinical Mental Health Therapist (LCMHT)A. Application Packet Upon reading the requirements for professional credentialing in Chapter 3, Section 4, pp. 11-12 and making a decision to upgrade to Licensed Clinical Mental Health Therapist (LCMHT), an individual shall submit to the Division an upgrade application packet containing the forms/materials listed below. These forms verify the provisional certification requirements listed in Chapter 3, Section 4, pp.11-12.
(1) Application: A completed, notarized Upgrade Application Form;(2) Employment: A completed Upgrade Verification of Employment Form from the applicant's current place of employment meeting the employment requirement listed in Chapter 3, Section 4, B., (1), p. 11;(3) Education: An Official Transcript(s) meeting the educational requirements listed in Chapter 3, Section 4, B., (2), p.11. However, if the educational requirement for LCMHT is met by the Official Transcript already on file with the individual's initial application for PCMHT or upgrade application for CMHT, then no further documentation is necessary.
(4) Experience: A completed Upgrade Verification of Experience Form(s) meeting the experience requirements listed in Chapter 3, Section 4, B., (3), p. 11. However, if any of the experience requirement for LCMHT is met by the Verification of Experience Form(s) already submitted with the individual's initial application for PCMHT or upgrade application for CMHT, then only the balance necessary to meet LCMHT experience requirements should be submitted.
(5) Ongoing Inservice/Training: If upgrading from PCMHT to LCMHT, a completed Verification of Inservice/ Training Form(s) verifying required inservice/training obtained during the individual's Provisional Certification Period as indicated in Chapter 3, Section 2, E., (2), pp. 9-10; and,
If upgrading from CMHT to LCMHT, a completed Verification of Inservice/ Training Form(s) verifying required inservice/training obtained during the current two-year Certification/Licensure Period as indicated in Chapter 3, Section 4, B., (4), pp. 11-12.
(6) MH-CTP: While successful completion of the MH-CTP is required for a provisional certificant to upgrade, there is no reporting requirement for the upgrade applicant. See Chapter 4, Section 1, I., p.23 for more information on documenting participation in the MH-CTP.(7) Application Fee: A nonrefundable $75.00 check or money order made payable to the Mississippi Department of Mental Health. See Chapter 6, Section 1, A., p. 36 for more information on the Application Fee.B. Directions(1) When preparing to submit an upgrade application for clinical licensure (LCMHT), be sure to follow the General Guidelines found in Chapter 4, Section 1, pp. 19-23 as well as the directions found at the top of each form. Directions are also located in Chapter 9 on p. 58 and in a checklist format found on pp. 59-60.(2) If questions arise which are not addressed in this document, please contact the Division for assistance.C. Submission Timelines When upgrading from PCMHT to LCMHT, individuals are expected to follow these timelines:
(1) Upon conclusion of the Provisional Certification Period (24 consecutive month maximum), a provisional certificant is expected to submit an upgrade application packet so that it is received by the Division no later than the last working day of the 25th month (one month past the 24 consecutive month maximum).(2) Provisional certificants who have completed all Provisional Certification Period requirements prior to reaching the maximum number of months allowed (24 months) and who wish to submit an upgrade application packet prior to the 25 month deadline may do so.(3) A provisional certificant who has been unable to complete all requirements during the Provisional Certification Period due to extenuating circumstances may submit a written request to the Review Board for Extended status. This written request must be received by the Division no later than the last working day of the 25th month. See Chapter 3, Section 7, B., (2), p. 15 for more information on Extended status.(4) If neither the upgrade application packet nor the written request for Extended status is received by the last working day of the 25th month, the provisional certificant is considered to have Defaulted. See Chapter 3, Section 7, B., (3), pp. 15-16 for more information on Defaulted status.24 Miss. Code. R. § 6-4-4