Residential Care Provider Certification

Residential Care Provider Certification

Residential care provider means an organization that the division has certified as fulfilling the statutory and regulatory requirements to be a residential care provider.  A residential care provider must apply separately for certification or licensure of the specific facility they tend to operate.  A provider must be compliant with 440 IAC 6.

If your residential setting does not provide SUD treatment and your entity is not already certified as a Community Mental Health Center, you need to be certified as a Residential Care Provider to operate a residential setting under 440 IAC 7.5.

Completing the application in the DMHA Provider Portal, you will be asked to provide the following information via rich text:

• Policies and procedures for applications in DMHA Provider Portal  (Note: these are required to be entered as rich text
  • Confidentiality according to IC 16-39
  • Services to be provided (440 IAC 6-2-4(a)(2))
  • Resident’s rights according to IC 12-27
• Documents that should be uploaded in the application in the DMHA Provider Portal:
  • A description of the organizational structure and mission statement of the applicant.
  • A list of governing board members (at least five (5) members)
    • At least one member is a primary
    • At least one member is a secondary consumer
    • At least one member has a current license as a physician or health services professional (HSPP) – provider must submit copies of license/license number’s
  • A list of names and positions of executive staff.
    • Copy of CEO’s resume
    • CEO must have at least a Master’s degree
    • CEO should have demonstrated experience in managing mental health care or a related field
  • Proof of general liability insurance coverage in the minimum amount of five hundred thousand dollars ($500,000) for bodily injury and property damage.
  • Copy of client’s rights document that is given to consumers
  • The most recent audit of the residential care provider, which shall be prepared by an independent certified public accountant.
  • Copies of the current professional health provider license of a board member and the professional services director.