Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 417.000 - Psychiatric Day Treatment Program Manual
Section 417.422 - Organizational Structure
Universal Citation: 130 MA Code of Regs 130.417
Current through Register 1531, September 27, 2024
(A) Program Director.
(1)
A psychiatric day treatment program must designate a full-time professional as
overall administrator and clinical director to be responsible for the program
and charged with day-today responsibility over it.
(2) The program director must have the
following educational and work experience.
(a)
Educational Requirements. A program director must have
one of the following college degrees:
1. a
master's degree in one of the disciplines set forth in
105 CMR
140.530(C):
Personnel Qualifications:
2. a master's degree in a related health
field (such as health administration or public health); or
3. a bachelor's degree in nursing (to become
a registered nurse) or in occupational therapy, unless the basic preparation
took place at a master's degree level.
(b)
Experience
Requirements. A program director must have five years of
full-time, supervised clinical experience in a multidisciplinary team treatment
setting, and a familiarity with the principles of the rehabilitation and
recovery model. Two years of this experience must be attained after the degree
required in
130 CMR 417.422(A)(3)(a)
has been received, except for registered
nurses and occupational therapists with a bachelor's degree who must have the
required five years of experience subsequent to receiving their degrees.
Occupational therapists with a bachelor's degree in occupational therapy and a
master's degree in a related health field, as described in
130 CMR
417.422(A)(3)(a)2., must
have two years of experience subsequent to receiving their master's degree.
Experience should be broken down as follows:
1. two years of work with a participant
population similar to that of receiving psychiatric day treatment program
services;
2. one year (which may be
concurrent with one of the foregoing two years) in another day treatment
program; and
3. two years in an
administrative/supervisory category.
(3)
Responsibilities. The program director's
responsibilities include:
(a) hiring and
firing of clinical staff;
(b)
establishing and implementing a supervision protocol in consultation with the
medical director and/or clinic director;
(c) establishing policies and procedures for
participant treatment;
(d)
accountability for adequacy and appropriateness of participant
treatment;
(e) coordinating staff
activities to meet program objectives;
(f) program evaluation; and
(g) establishing and supervising in-service
training and education.
(B) Medical Director.
(1) The psychiatric day
treatment program must designate a psychiatrist who meets the qualifications
outlined in
130 CMR
417.423(A) as the medical
director. The medical director is responsible for reviewing and approving all
psychiatric day treatment medical policies and protocols and for supervising
all psychiatric day treatment medical services provided by the staff.
(2) The role of the medical director in the
program, apart from any other duties assumed under
130 CMR
417.422(B)(1), must include
the following:
(a) participation in the
ongoing multidisciplinary evaluation and review of each participant's
status;
(b) review of physical
examination reports on all participants participating in the program;
(c) monitoring or supervising the
participant's medication regimen and prescribing medications as indicated and
necessary upon consultation with the participant's primary care provider;
and
(d) coordination of all aspects
of the participant's treatment plan that involve physicians outside the
program.
(3) The medical
director may be either a staff member or a consultant, but must work on-site
for a minimum of four hours per week. In addition, arrangements must be made so
that the medical director or another psychiatrist is available for telephone
consultations every day the program is open.
(4) If the medical director is a member of
the treatment team, his or her responsibilities must include active involvement
in all aspects of treatment planning and service delivery.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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