This section must be completed by a Licensed Practitioner of the Health Arts (LPHA), as defined by:
• Nurse Practitioner • Registered Professional Nurse • Licensed Clinical Social Worker • Physician • Licensed Mental Health Counselor • Licensed Master Social Worker, under the supervision of an LCSW • Physician Assistant • Licensed Creative Arts Therapist • Psychiatric Nurse Practitioner • Licensed Marriage & Family Therapist psychologist, or psychiatrist employed by the agency • Psychiatrist • Licensed Psychoanalyst • Psychologist
Note: The CORE Services designated provider will conduct an intake and engage the individual through person-centered planning to determine frequency, scope, and duration of recommended services.