Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 448.000 - Community Behavioral Health Center Services › Section 448.413 - Staff Composition Requirements

Current through Register 1525, July 5, 2024
(A)
Minimum Staffing Requirements
. Each center must meet
			 the minimum staffing and staff composition requirements outlined in
			 130
			 CMR 448.413 to adequately provide the
			 required scope of services set forth in
			 130
			 CMR 448.412. The staff must include other
			 related behavioral health professionals as appropriate to meet the needs of
			 members, which includes staff necessary for the provision of intake, diagnostic
			 evaluation, and treatment services. All licensure staffing requirements must be
			 met.
(B)
Minimum
			 Staffing Composition
.
(1)
Psychiatrists
. Each center must employ, whether on
			 staff or by contract, at least one psychiatrist licensed by the Massachusetts
			 Board of Registration in Medicine pursuant to M.G.L c. 112, §§ 2
			 through 12DD; c. 112 §§ 61 through 65 and 88, and
			 243 CMR
			 2.00:
Licensing and the Practice of
			 Medicine
, and certified by the American Board of Psychiatry and
			 Neurology, the American Osteopathic Board of Neurology and Psychiatry, or board
			 eligible for such certification. Such psychiatrist will be responsible for
			 prescribing, or monitoring and supervising the prescription of, all
			 medications.
(2)
Psychopharmacology Staff.
(a)
Prescribers of Medication for
			 the Treatment of Opioid Use Disorders
. Each center must employ a
			 board-certified or board-eligible psychiatrist or other prescriber of
			 medication for the treatment of opioid use disorders who possesses DEA X waiver
			 registrations for prescribing of medication for the treatment of opioid use
			 disorders sufficient to meet regional need.
(b)
Medical Assistants or
			 Phlebotomists
. Each center must employ a medical assistant or
			 phlebotomist to draw blood using needles and other equipment, obtain toxicology
			 samples, label samples correctly, and send them for testing as appropriate.
			 Medical assistants may also assist with vital signs, height/weight, and other
			 relevant health data.
(3)
Multidisciplinary
			 Staff
. In addition to the requirements under
			 130
			 CMR 448.413(B)(1) and (2)
			 each center must employ a multidisciplinary staff that includes at least two of
			 the following behavioral health professionals.
(a)
Psychologist
. A
			 psychologist licensed by the Massachusetts Board of Registration of
			 Psychologists, and specializing in clinical or counseling psychology, or a
			 closely related specialty, pursuant to M.G.L. c. 112, §§ 118 through
			 127 and
			 251 CMR
			 3.00:
Registration of
			 Psychologists
.
(b)
Social Worker
. An independent clinical social worker
			 licensed by the Massachusetts Board of Registration of Social Workers pursuant
			 to M.G.L. c. 13, § 84 and
			 258 CMR
			 9.00:
Licensure Requirements and
			 Procedures
.
(c)
Licensed Mental Health Counselor
. A licensed mental
			 health counselor licensed by the Board of Registration of Allied Mental Health
			 and Human Services Professions pursuant to M.G.L. c. 112, § 165 and
			 262 CMR
			 2.00:
Requirements for Licensure as a Mental
			 Health Counselor.
(d)
Licensed Marriage and Family Therapist
. A marriage and
			 family therapist licensed by the Board of Registration of Allied Mental Health
			 and Human Services Professions pursuant to M.G.L. c. 112, §§ 163
			 through 172 and
			 262 CMR
			 3.00:
Requirements for Licensure as a Marriage
			 and Family Therapist
.
(e)
Registered Nurse (RN)
. A registered nurse licensed by
			 the Board of Registration in nursing pursuant to M.G.L. c. 112, § 80B and
			 244 CMR
			 3.00:
Registered Nurse and Licensed Practical
			 Nurse
.
(f)
Certified Peer Specialists
. The center must employ at
			 least one certified peer specialist. Certified peer specialists must meet all
			 applicable sections of
			 130 CMR
			 448.000.
(g)
Recovery Support
			 Staff
. The center must employ at least one recovery support
			 navigator or at least one peer recovery coach staff member. Recovery support
			 navigators and peer recovery coach staff shall meet all applicable sections of
			 130 CMR
			 418.000:
Substance Use Disorder Treatment
			 Services.
(h)
Advanced Practice Registered Nurse
. An advanced
			 practice registered nurse who specializes in psychiatric treatment as follows.
1.
Psychiatric
			 Nurse
. A registered nurse with a master's degree in psychiatric
			 nursing licensed by the Board of Registration in Nursing pursuant to M.G.L. c.
			 112, § 80B and
			 244 CMR
			 4.00:
Advanced Practice Registered
			 Nursing
.
2.
Psychiatric Clinical Nurse Specialist
. A psychiatric
			 clinical nurse specialist licensed by the Board of Registration in Nursing
			 pursuant to M.G.L. c. 112, § 80B and
			 244 CMR
			 4.00:
Advanced Practice Registered
			 Nursing
.
(i)
Licensed Alcohol and Drug Counselor I
. An alcohol and
			 drug counselor licensed by the Department of Public Health pursuant to
			 105 CMR
			 168.000:
Licensure of Alcohol and Drug
			 Counselors
.
(j)
Other Licensed Mental Health and Substance Use Disorder
			 Practitioners
. Other mental health and substance use disorder
			 practitioners licensed by the Division of Professional Licensure, the
			 Department of Public Health, or any Board of Registration and deemed by the
			 Department of Public Health to be mental health and substance use disorder
			 professionals.
(k)
Licensed Applied Behavior Analyst
. An applied behavior
			 analyst licensed by the Board of Registration of Allied Mental Health and Human
			 Services Professions pursuant to M.G.L. c. 112, §§ 163 through 172
			 and M.G.L. c. 13, §§ 88 through 90.
(l)
Staff to Administer
			 Medication Services
. In addition to the staff required in
			 130
			 CMR 448.413(B)(1) through
			 (3), centers may optionally staff physicians,
			 nurse practitioners, and Physician's Assistants to support prescriptive
			 practice and integrated medical services, inclusive of addiction medicine,
			 within the center.