New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 2 - SPECIALIZED BEHAVIORAL HEALTH PROVIDER ENROLLMENT AND REIMBURSEMENT › Section 8.321.2.18 - COMPREHENSIVE COMMUNITY SUPPORT SERVICES (CCSS)

Current through Register Vol. 35, No. 13, July 16, 2024
To help a New Mexico eligible recipient receive medically
				  necessary services, MAD pays for covered CCSS. This culturally sensitive
				  service coordinates and provides services and resources to an eligible
				  recipient and his or her family necessary to promote recovery, rehabilitation
				  and resiliency. CCSS identifies and addresses the barriers that impede the
				  development of skills necessary for independent functioning in the eligible
				  recipient's community, as well as strengths that may aid the eligible recipient
				  and family in the recovery or resiliency process.
A.
Eligible providers and
				practitioners:
(1) See Subsections A
				and B of
				8.321.2.9
				NMAC for MAD general provider requirements. To provide CCSS services, a
				provider must receive CCSS training through the state or state approved trainer
				and attest that they have received this training when contacting the state's
				fiscal agent to add the specialty service 107, CCSS to their existing
				enrollment in medicaid. The children, youth and families department (CYFD) will
				provide background checks for CCSS direct service and clinical staff for
				child/youth CCSS programs.
(2)
				Clinical services and supervision by licensed behavioral health practitioners
				must be in accord with their respective licensing board regulations:
(a) Minimum staff qualifications for the
				community support worker (CSW):
(i) must be
				at least 18 years of age; and
(ii)
				hold a bachelor's degree in a human services field from an accredited
				university and have one year of relevant experience with the target population;
				or
(iii) hold an associate's degree
				and a minimum of two years of experience working with the target population;
				or
(iv) hold an associate's degree
				in approved curriculum in behavioral health coaching; no experience necessary;
				or
(v) have a high school diploma
				or equivalent and a minimum of three years of experience working with the
				target population; or
(vi) hold a
				certification from the New Mexico credentialing board for behavioral health
				professionals as a certified peer support worker (CPSW) or as a certified peer
				family specialist (CPFS).
(b) Minimum staff qualifications for
				certified peer support workers (CPSW):
(i)
				must be 18 years of age or older; and
(ii) have a high school diploma or
				equivalent; and
(iii) be
				self-identified as a current or former consumer of mental health or substance
				abuse services, and have at least two years of mental health or substance abuse
				recovery; and
(iv) have received
				certification as a CPSW.
(c) Minimum staff qualifications for
				certified family peer support workers (CFPSW):
(i) must be 18 years of age or older;
				and
(ii) have a high school diploma
				or equivalent; and
(iii) must have
				lived-experience of being actively involved in raising a child who experienced
				emotional, behavioral, mental health, or mental health with co-occurring
				substance use or developmental disability challenges prior to the age of 18
				years.
(iv) must have personal
				experience navigating child serving systems on behalf of their own child. Must
				also have an understanding of how these systems operate in New Mexico;
				and
(v) have received certification
				as a CFPSW.
(d) Minimum
				staff qualifications for certified youth peer support workers (CYPSW):
(i) must be 18 years of age or older;
				and
(ii) have a high school diploma
				or equivalent; and
(iii) have
				personal experience navigating any of the child/family-serving systems prior to
				the age of 18 years. Must also have an understanding of how these systems
				operate in New Mexico; and
(iv)
				have received certification as a CYPSW.
(e) Minimum staff qualifications for the CCSS
				program supervisor:
(i) must hold a bachelor's
				degree in a human services field from an accredited university; and
(ii) have four years relevant experience in
				the delivery of case management or CCSS with the target population;
				and
(iii) have one year
				demonstrated supervisory experience.
(f) Minimum staff qualifications for the
				clinical supervisor:
(i) must be a licensed
				independent practitioner (i.e. psychiatrist, psychologist, LISW, LPCC, LMFT),
				psychiatrically certified clinical nurse specialist or clinical nurse
				practitioner practicing under the scope of their NM licensure; and
(ii) have one year demonstrated supervisory
				experience; and
(iii) provide
				documented clinical supervision on a regular basis to the CSW, CPS and
				CFS.
(3)
				Staff training requirements:
(a) Minimum staff
				training requirements for a community support worker includes:
(i) an initial training comprised of 20 hours
				of documented education within the first 90 days of employment drawn from an
				array of areas documented in the BH policy and billing manual;
(ii) documentation of ongoing training
				comprised of 20 hours is required of a CSW every year, after the first year of
				hire, with content of the education based upon agency assessment of staff
				need.
(b) Minimum staff
				training requirements for supervisors:
(i) the
				same 20 hours of documented training or continuing education as required for
				the CCSS community support worker;
(ii) an attestation of training related to
				providing clinical supervision of non-clinical staff.
(4) The clinical supervisor and
				the CCSS program supervisor may be the same individual.
(5) Documentation requirements: In addition
				to the standard client record documentation requirements for all services, the
				following is required for CCSS:
(a) case notes
				identifying all activities and location of services;
(b) duration of service span (e.g., 1:00
				p.m.-2:00 p.m.); and
(c)
				description of the service provided with reference to the CCSS treatment plan
				and related goals.