The manual notes Preadmission Screening Clinicians (prescreeners) who are not LMHP (LMHP-R, LMHP-RP, or LMHP-S or in supervision need to have their assessments signed off by a LMHP.

Note for the record that concur with others how critical it is not to allow billable activity of a Certified Prescreener who is not LMHP or LMHP-Type.  Continue to advocate and agree with another statement that if necessary - Virginia should considering seeking waiver based on system-wide workforce challenges.  

• The work of the Certified Prescreeners is Code mandated activity. 
• Critical clinical activity necessary

• Those certified include a small number (very small) of staff in this category who are specifically trained, experienced, etc.  Inability to fund this activity based on Virginia’s once reported goal f a self-funded crisis system with significant workforce shortages adversely impacts the ability to support, deliver and expand other critical services in the continuum. 
• NOTE:  These activities are impacted significantly by other gaps or system inadequacies.
• Additionally noting that lack of ability to navigate supervision timely based on shortages of LMHP and/or delays with DHP beyond control.  Again, these clinicians specifically certified for this activity that only a select group can provide.