DRAFT REVISED Exhibit B - Specialty Consultant Qualifications.docx

Exhibit B Specialty Consultant Qualifications Bullets under the “Minimum Qualifications” section of each labor category will NOT be modified to a lesser degree than the requirements outlined in the DHA PM 6025.13, vol. 4 or Service-specific requirements where the DHA PM is silent. Service specific guidelines may apply in areas where the DHA PM is silent.

ANCILLARY SERVICES LABOR SEGMENT LABOR CATEGORIES

Clinical Psychologist

Minimum Qualifications:

· Degree: Doctor of Philosophy (PhD) or Doctor of Psychology (PsyD).

· Education: Graduate from an American Psychology Association accredited college or university with a doctoral degree in clinical or counseling psychology. Additional training is required for psychology specialties. Refer to the DHA PM 6025.13, vol. 4 for requirements.

· Internship/Residency: Successful completion from an internship in psychology accredited by the American Psychological Association.

· Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

· Licensure: As required to meet clinical competency requirements specified in the credentialing instruction.

Optometrist

Minimum Qualifications:

· Degree: Doctor of Optometry from an accredited organization.

Education: Graduate from a school or college approved by the Accreditation Council on Optometric Education (ACOE) of the American Optometric Association.

· Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

· Licensure: Current, full, active, and unrestricted license to practice as an optometrist.

Physician Assistant

Includes, but not limited to: Aviation Medicine; Cardiac Perfusion; Cardiovascular and Thoracic Surgery; Emergency Medicine; Family Medicine; General Surgery; Hospital Medicine; Nephrology; Occupational Health; Orthopedic Surgery; Pediatrics; Psychiatry [Update with MEPCOM Specialty List]

Minimum Qualifications:

· Degree: Bachelor's degree.

· Education: Graduate from an accredited college or university certified by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA). In addition to the education requirements listed in the DHA-PM for PAs, specialty PAs must complete residency or fellowship training of 12 months or more in a medical specialty program acceptable to the DHA.

· Certification: Certified by the National Commission on Certification of Physician’s Assistants (NCCPA).

· Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

· Licensure: Current, full, active, and unrestricted license to practice as a Physician Assistant.

Podiatrist

Minimum Qualifications:

· Degree: Doctorate of Podiatric Medicine (DPM).

· Education: Graduate from a school of podiatric medicine accredited by the Council on Podiatric Medical Education (CPME) under the authority of American Podiatric Medical Association (APMA). Completion of 24 months of podiatric surgical residency training preferred. Completion of 12 months podiatric surgical residency training, plus a 12-month podiatric orthopedic/primary podiatric medical residency, will be considered on a case by case basis.

· Certification: Board certified by the American Board of Podiatric Surgery (ABPS) or the American Board of Podiatric Medicine (ABPM).

· Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

· Licensure: Current, full, active, and unrestricted license to practice as a podiatrist.

Dentist

Includes, but not limited to: General and Specialty Dentists

Minimum Qualifications:

· Degree: Doctor of Medical in Dentistry (DMD) or Doctor of Dental Surgery (DDS).

· Education: Graduate from an accredited dental school approved by the Commission on Dental Accreditation (CODA) of the American Dental Association (ADA). Specialty Dentist must be a graduate of a dental specialty training program that is accredited by the CODA of the ADA.

· Certification: Board eligible or board certified as required in the TO. Dental specialists shall have a certificate of training in their specialty area from an ADA-accredited residency training program.

· Internship/Residency: Specialty Dentist: Completed a clinical post-doctoral program approved by the ADA in the specialty identified in the TO.

· Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.

· Licensure: Current, full, active, and unrestricted license to practice as a dentist.

Nurse Practitioner (Advanced Practice Nurse) [Qualification for APN requirement under Ancillary Market Segment]

Includes, but not limited to: Nurse Practitioner in the following areas: Acute Care; Adult; Adult-Gerontology- Acute Care; Adult-Gerontology-Primary Care; Family Practice; Flight Medicine; Gerontology; Neonatal; Pediatric; Psychiatric-Mental Health; Psychiatric Primary Care; Women's Health [UPDATE with MEPCOM Specialty List]

Minimum Qualifications:

· Degree: Master's degree in nursing.

· Education: Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).

· Certification: Certified in the specialty required by the TO as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate (for example, National Certification Board of Pediatric Nurse Practitioners and Nurses, American Nurses Association, National Certification Corporation for the Obstetric, Gynecologic and Neonatal Specialties).

· Experience: As required to meet clinical competency requirements specified in the credentialing instructions.

· Licensure: Current, full, active, and unrestricted license as a Registered Nurse.

Physician

Includes, but not limited to: Primary care and Specialty care Physicians, such as INSERT EXPECTED MEPCOM REFERRALS

Minimum Qualifications:

· Degree: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).

· Education: Graduation from a medical school in the United States, Canada, or approved by the Liaison Committee on Medical Education of the American Medical Association (AMA), graduation from a college of osteopathy approved by the American Osteopathic Association (AOA), or graduation from a medical school with evidence of Educational Commission for Foreign Medical Graduates (ECFMG) certification.

· Certification: The DoD only recognizes certifications issued by boards that are members of the American Board of Medical Specialties (ABMS) or the AOA Bureau of Osteopathic Specialists

· Internship/Residency/Fellowship: Completion of an accredited residency approved by the Accreditation Council for Graduate Medical Education (ACGME).

· Experience: As required to meet clinical competency requirements specified in the credentialing instructions.

· Licensure: Current, full, active, and unrestricted license to practice medicine. Any active license must be unrestricted, even if not in the state of contract performance.

Exhibit 5, Version 1.0 (18 Aug 22)