Current through Register 1531, September 27, 2024
(A)
Supervision.
(1)
Unlicensed or Not Independently Licensed Staff Supervision
Requirements. All professionals who are unlicensed, who are in a
profession without licensure, or who are not independently licensed or
certified as a peer supervisor must receive direct and continuous supervision.
Direct and continuous supervision may be provided using telehealth
technology.
(2)
Independently Licensed and Certified Peer Supervisor
Staff. All independently licensed professionals and certified peer
supervisors will receive supervision in accordance with center policy.
Supervision may be provided using telehealth technology.
(3) The supervising clinician is primarily
responsible for the care of the member. For any care delivered by a
professional under supervision, there will be documentation in the clinical
chart that the chart was reviewed by the supervising clinician.
(4) All supervision must be documented in
files accessible for review by the MassHealth agency. Supervision notes will,
at a minimum, contain information regarding frequency of supervision, format of
supervision, supervisor's signature and credentials, and general content of
supervision session.
(B)
Staff Training. Centers will provide staff with
specific training to provide services to members, including but not limited to
(1) training to assess and treat mental
health disorders, which may include co-occurring substance use disorders,
including the clinical and psychosocial needs of the target population using
evidence-based practices (e.g., staff treating children shall
have specialized training and experience in children's services);
(2) training on Culturally and Linguistically
Appropriate Services (CLAS) to ensure the content and process of all services
are informed by knowledge, respect for, and sensitivity to culture, and are
provided in the individual's preferred language and mode of communication.
Training will include recognition and respect for the characteristics of the
members served, such as behaviors, ideas, values, beliefs, and
language;
(3) training in
maintaining a trauma-informed facility and upholding standards of
trauma-informed care, including fostering trauma-informed
environments;
(4) training on
currently available resources and services, including those in the community,
and how to make appropriate referrals based on the needs of the
member;
(5) training on crisis
prevention and de-escalation, risk management and safety planning, and conflict
resolution;
(6) training on
overdose prevention and response;
(7) implicit bias (e.g.,
age, race, ethnicity, gender, and sexual orientation); and
(8) suicide prevention.
(C)
Child and Adolescent Needs
and Strengths Assessment (CANS). Any clinician who provides
individual, group, or family therapy to members younger than 21 years of age
must be certified every two years to administer the CANS, according to the
process established by EOHHS.
(D)
Staff Professional Standards. Any staff, of any
discipline, operating in the center must comport with the standards and scope
of practice delineated in their professional licensure and be in good standing
with their board of professional licensure, as applicable. Each center will
notify the MassHealth agency of any staff that are censured by the Department
of Public Health or sanctioned by their board of licensure as set forth in
130
CMR 448.406.
(E)
Staffing Plan.
Centers must maintain a staffing plan that includes policies and procedures to
ensure all staffing and supervision requirements pursuant to
130
CMR 448.423.
