441—58.64 (234) Provider participation. A mental health professional with an active professional license issued by the Iowa department of public health who is qualified to provide individual psychotherapy (i.e., Current Procedural Terminology code 90806, “individual psychotherapy, insight-oriented behavior modification or support, provided face to face with the patient in an office or outpatient setting”) according to the Iowa Plan vendor requirements shall be allowed to participate as a ticket to hope provider.
	 58.64(1) A mental health professional applying to participate in the program shall submit a copy of the professional license to the Iowa concern hotline.
	 58.64(2) The mental health professional shall agree to the terms of participation in the ticket to hope program by:
	  a.   	 Signing a professional services agreement with the department; and
	  b.   	 Returning the signed agreement to the Iowa concern hotline.
[ARC 7641B, IAB 3/25/09, effective 3/1/09]