• Oral maxillofacial surgeons providing Health Services covered under the Health Benefits Plan
• Psychologists who have doctoral or master’s level training
• Clinical social workers who have master’s level training
• Psychiatric or behavioral health nurse practitioners who have master’s level training
• Other behavioral health care telemedicine practitioners who provide treatment services under the health benefits plan
• Medical therapists (e.g., physical therapists, speech therapists, and occupational therapists)
• Genetic counselors
• Audiologists
• Acupuncturists (non-medical doctors or Doctor of Osteopathic Medicine)
• Nurse practitioners
• Physician assistants (as required locally)
• Registered diaticians

Health Delivery Organizations (HDOs):

• Hospitals
• Home health agencies
• Skilled nursing facilities
• Nursing homes
• Ambulatory surgical centers
• Behavioral health facilities providing mental health and/or substance abuse treatment in an inpatient, residential or ambulatory setting, including:
• Adult family care/foster care homes
• Ambulatory detox
• Community mental health centers (CMHC) / Crisis stabilization units / Intensive family intervention services
• Intensive outpatient – mental health and/or substance abuse
• Methadone maintenance clinics / Outpatient mental health clinics / Outpatient substance abuse clinics
• Partial hospitalization – mental health and/or substance abuse o Residential treatment centers (RTC) – psychiatric and/or substance abuse
• Home infusion therapy agencies

The following HDOs and behavioral health practitioners are not subject to professional conduct and competence review , but are subject to a certification requirement process including verification of licensure by the applicable state licensing agency and/or compliance with regulatory or state/federal contract requirements for the provision of services:

• Clinical laboratories (a CMS-issued CLIA certificate or a hospital-based exemption from CLIA)
• End stage renal disease (ESRD) service providers (dialysis facilities)
• Portable X-ray suppliers
• Home infusion therapy when associated with another currently credentialed HDO
• Hospice
• Federally qualified health centers (FQHC)
• Rural health clinics
• Certified behavioral analysts
• Certified addiction counselors
• Substance abuse practitioners