• Pennsylvania Certification Board CAAC and CADC Certification Reimbursement Application

    Greetings! DBHIDS and BHTEN are committed to helping our Philadelphia behavioral health provider network continue to prepare for the transition from the PCPC to the ASAM framework. As the ASAM framework is being implemented across all levels of care, we plan to support addiction’s services staff obtain accreditation such as the Certified Alcohol and Drug Counselor (CADC) and Certified Associate Addictions Counselor (CAAC). In an effort to bolster these certifications in our Philadelphia system, we will be reimbursing a limited number of staff who successfully pass the certification examination for either the CADC or the CAAC. Those that wish to be reimbursed must be employed by one of our Philadelphia providers and have completed the DBHIDS CADC and CAAC Reimbursement application process. The reimbursement opportunity will be available over the next 3 years.  

  • DBHIDS and BHTEN have partnered with the Pennsylvania Certification Board (PCB) to screen addiction’s services staff who may be eligible for the CADC or CAAC certification examination. DBHIDS and BHTEN will not play any role in determining whether or not an applicant is eligible to take the exam for the CADC or CAAC certification. Individuals that wish to appeal a decision of eligibility, must follow the instructions listed in the decision letter.

  •  Instructions for the DBHIDS CADC and CAAC Screening Tool:

    1. You do not need to complete the form in one sitting, you can save it and return later. You will receive an email link to send you back to your draft.

    2. All required fields must be completed.

    3. Required attachments must be legible and signed (if necessary).

    4. Applicants may only be screened for either the CADC or the CAAC certification.

    5. If questions arise during the applciation process, please email PCBScholarshipFund@gmail.com

    6. This form is only for people who have already taken and passed their CAAC or CADC exam. 

  • Information about the Applicant and Provider-

  • Applicant's Supervisor Information

  • CAAC Certified Associate Addiction Counselor Requirements (Applicant must meet all requirements)

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • CADC Certified Alcohol and Drug Counselor Requirements (Applicant must meet all requirements)

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • You responded 'no' to the above requirement, in order to qualify for the scholarship you must meet each requirement. 

  • CAAC & CADC Documentation Checklist

    I certify that by providing my initials by each statement listed below, I have what I believe to be the required documentation and/or meet that particular requirement.

    1. I have the required work experience, supervision and education/training. I have copies of training certificates, official college transcripts, and the documented required job credentials. I understand that I am not required to submit all of the documentation that is listed below for the DBHIDS CADC and CAAC Screening tool, but will be required to do so once I am eligible to apply for the official certification examination for either the CADC or CAAC certification. 
    2. I am currently employed in the qualifying position at the time of application. Only employment within the last seven (7) years may be counted towards the total experience requirement.
    3. I acknowledge that I need to provide primary drug and alcohol counseling as the primary function of your position to be eligible for counselor certification. For current employment as a counselor, a job description obtained from your employer is required and must be dated and signed by both the candidate and their supervisor. The job description must clearly indicate that drug and alcohol counseling is a primary responsibility of the candidate.
    4. I acknowledge that if my experience requirement is not fulfilled from my current employer, I must include a letter (on company letterhead) from previous employer(s) verifying my duties and dates employed with my application and a letter of recommendation from my current direct supervisor on provider agency's letterhead. 

  • Acknowledgment Page

  • Candidates for screening and certification will be required to sign an acknowledgements page which contains the following important information:

    • I certify that the information given herein is true and complete to the best of my knowledge and belief. I also authorize any necessary investigation and the release of information relative to my credential. Falsification of any documents will nullify this application and will result in denial or revocation of certification;
    • I consent to the release of information contained in my application and any other pertinent data submitted to or collected by the PCB to officers, members, and staff of the aforementioned Board;
    • I consent to authorize the PCB to gather information from third parties regarding education and employment and understand that such communication shall be treated as confidential;
    • Allegations of ethical misconduct reported to the PCB before, during, or after application for certification is made will be investigated by the PCB and could result in the nullification of the application or denial or revocation of certification;
    • I certify that I will have all official transcripts sent directly from the college(s) to the PCB upon receipt of the PCB’s decision that I have passed the screening phase and am eligible to officially apply for the CADC or CAAC examination prior to submitting the official application to the PCB.
    • I certify that I have uploaded the following documentation to the DBHIDS CADC and CAAC Screening Tool in order to be eligible to be reimbursed for passing the examination for either the CADC or CAAC certification. I understand that I will need to resubmit this information to the PCB once I have been approved to complete their official application.
      • Screening application
      • Initialed CADC or CAAC Checklist
      • Completed applicant information
      • Signed acknowledgments page
      • Signed copy of current job description
      • Signed letter of support/recommendation from current and direct supervisor
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