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OPA-MCE Provider Application
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OPA-MCE Provider Application
2016-2018
Ohio Psychological Association
Mandatory Continuing Education Office
395 East Broad Street #310
Columbus, Ohio 43215
Phone 888-672-6231 or 614-224-9620
Fax 614-224-6702

mce@ohpsych.org


ONLY TYPED OR COMPUTER-GENERATED FORMS WILL BE PROCESSED PLEASE ATTACH ADDITIONAL DOCUMENTS WHERE NECESSARY


OPA-MCE PROVIDER ORGANIZATION




PROGRAM ADMINISTRATOR (PA)-  (This person serves as the OPA MCE primary contact and will be the only person mailing in forms, faxing or contacting OPA-MCE with regards to Attendance Sheets, MCE Calendar, etc.) In the event of the Program Administrator changing, OPA-MCE must be notified so that OPA-MCE’s records can be updated and the new Administrator trained.


MCE PROGRAM DEVELOPER / PRESENTER (PD)











List any state or national accreditations or any other CE provider approval or recognition that
you hold (i.e., APA, OSPA, NASP, etc.)

CURRICULUM CONTENT


How you do assure that course material contributes to the enhanced knowledge about psychology and is relevant to psychological practice (Beyond doctoral education)

COURSES IN ETHICS/CULTURAL COMPETENCY/PROFESSIONAL CONDUCT:




If yes, describe the ethical issues to be addressed. What is your rationale for selecting this focus? What are your qualifications for offering this training?

PROGRAM DEVELOPMENT


What are the qualifications of the person responsible for organizing your CE program? 

If the person responsible for the program is not a psychologist, please describe the contributions any psychologist makes with your educational program selection and development.

GOALS AND OBJECTIVES


How do you maintain a balance and objectivity in your program so that presentations do not predominantly reflect the commercial view of the presenter, the provider organization, and/or anyone providing financial assistance to the organization or presenter?

INSTRUCTION STAFF AND METHODS


DISTANCE LEARNING




Describe the type/format of distance learning and your rationale for selecting this format i.e. internet, webinar, home study etc.

Describe the procedures you use to verify that the person being awarded the credit is the individual who completed the program. (Participants must sign stating they took the course themselves without any outside help). What techniques do you use to protect the security and confidentiality of course material? 
What are the requirements for course completion to award credit? If you will use a test as the basis of awarding credit, describe your rationale for the length of the test, the content, and the pass threshold. Attach a sample of each type of instrument used to assess participant learning
Provide a sample of your promotional material that communicates any special equipment needs to potential participants.

Provide a representative sampling of vitae of individuals responsible for preparing the examination materials

GENERAL ORGANIZATION


GENERAL MONITORING


Do you have an annual review in place to assure compliance with current regulations and maintain awareness of any revisions in MCE polices and procedures? If not, how do you intend to implement changes in policies and procedures?
How do you monitor and evaluate an instructor’s experience, knowledge level and teaching ability?
Please describe any complaints or major issues that may have been raised by participants of any previous courses that your organization has offered and how you resolved the issue.

RECORD KEEPING




If non-current records are stored off-site, how will you respond to psychologists requesting records for verification from previous years?

ETHICAL COMPLAINTS


How do you investigate and handle complaints of an ethical or quality control nature?
How does your organization create a supportive environment regardless of an individual’s sexual orientation, gender, age physical ability, race/culture or religious background?

EQUAL ACCESS


How do you determine that the facilities you use are accessible according to the Americans with Disabilities Act?
Does your advertising include a statement on how to request reasonable accommodations for disabilities? How do you plan to provide reasonable accommodations?

AUTHORIZATION


 I certify, on behalf of the CE Provider Organization that completed this application that the preceding statements are true and I understand that any false statements may result in denial or revocation of approval. I have also read and understand the OPA-MCE Provider Guidelines and Policies. Our organization agrees to comply with all OPA-MCE regulations and policies. In addition, our organization agrees to maintain the highest ethical standards as stated in the APA Ethical Principles of Psychologists and Code of Conduct. Finally our organization agrees to fulfill the spirit of all standards relating to equal opportunity and equal access. 





FEE STRUCTURE


An OPA-MCE Provider application fee in the amount of $700 is due from non-profit organizations and $900 from for-profit organizations, made payable to OPA-MCE. For the period of September 1, 2016- August 31, 2018, additional fees will be due at the end of the biennium if more than 20 courses are offered. Your organization may either pay the additional fees in advance or the OPA-MCE Office will bill you for the additional fees based on the number of courses you offer.


Please send payment with the application. If your organization is not approved, all of the fee will be returned less $100 a application fee. For those organizations who pay the OPA-MCE Provider fee in full, the OPA-MCE Program will offer a 5% discount on the application fee, making the total for the two-year contract period $665 for non-profit organizations and $855 for for-profit organizations. For those organizations that wish to pay in installments, they may make two equal payments of $350 (non-profit organization) or $450 (for-profit organization) with the application. The first installment is due with the application and the second installment is due by September 1, 2017.

OPA-MCE Additional Fee Schedule
For the period of September 1, 2016-August 31, 2018, additional fees will be due if more than 20 courses are offered. Your organization may either pay the additional fees in advance or the OPA-MCE Office will bill you for the additional fees based on the number of courses you offer. These additional fees are above and beyond the $700/$900 registration fee, which allows a maximum of 20 courses to be offered. Invoices will be sent for these additional fees if necessary after the end of the biennium.

OPA-MCE Additional Fee Schedule Additional Fee
 21-40 Courses Offered  $200
 41-60 Courses Offered   $400
 61-80 Courses Offered   $600
 81-100 Courses Offered   $800
 101-120 Courses Offered   $1,000
 121-140 Courses Offered   $1,200
 141-160 Courses Offered  $1,400
 161-180 Courses Offered  $1,600
 181-200 Courses Offered  $1,800
 201+ Courses Offered  $2,000

 

PAYMENT