Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 461.000 - Community Support Program Services
Section 461.411 - Staffing Requirements

Universal Citation: 130 MA Code of Regs 130.461

Current through Register 1531, September 27, 2024

(A) Minimum Staffing Requirements. Each program must meet the minimum staffing and staff composition requirements outlined in 130 CMR 461.411 to adequately provide the required scope of services set forth in 130 CMR 461.410. The staff must include an adequate number of qualified personnel to fulfill the program's objective.

(B) Minimum Staff Composition.

(1) Program Director. The CSP program must designate a professional as overall administrator and program director in charge of day-to-day administration of the program. The program director's responsibilities include:
(a) hiring and firing of CSP staff;

(b) establishing and implementing a supervision protocol;

(c) establishing CSP policies and procedures;

(d) accountability for adequacy and appropriateness of member service;

(e) coordinating staff activities to meet program objectives;

(f) program evaluation; and

(g) establishing and supervising in-service training and education.

(2) Multidisciplinary Staff.
(a) The program must employ a multidisciplinary staff that can support the schedule of operations and provide services to members. A member of the program's professional or paraprofessional staff must be assigned to each member to assume primary responsibility for that member's case.

(b) The program must employ the number of staff necessary to implement all aspects of the service plan; maintain the member's records; initiate periodic review of the service plan for necessary modifications or adjustments; coordinate the various services provided by the program itself and by other agencies; coordinate referrals to other state agencies as needed; meet regularly with relatives and significant friends of the member; and monitor the member's progress in accomplishing the treatment goals.

(c) The program must have a licensed, master's-level behavioral health clinician or licensed psychologist to provide supervision to CSP staff.

(d) All staff must have a bachelor's degree in a related behavioral health field, or at least two years of relevant work experience, or lived experience of homelessness, behavioral health conditions and/or justice involvement.

(e) Staff may include qualified Certified Peer Specialists and staff with lived experience of homelessness, behavioral health conditions or justice involvement.

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