<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.45.05" title_num="10" subtitle_num="09" chapter_num="45" heading="Mental Health Case Management Provider Staff.">
  <text>Required Staff. The mental health case management provider shall have staff that is sufficient in numbers and qualifications to provide appropriate services to the participants served and shall include, at a minimum:</text>
  <paragraph num="A.">
    <text>A community support specialist supervisor who:</text>
    <paragraph num="(1)">
      <text>Is a mental health professional who is licensed and legally authorized to practice under the Health Occupations Article, Annotated Code of Maryland, and who is licensed under Maryland Practice Boards in the profession of:</text>
      <paragraph num="(a)">
        <text>Social work;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Professional Counseling;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Psychology;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Nursing;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Occupational Therapy; or</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Medicine;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Has 1 year of experience in mental health working as a supervisor;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Provides clinical consultation and training to community support specialists or associates regarding mental illness; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Is employed or contracted to supervise case management services at a ratio of one supervisor to every eight community support specialists or associates;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A community support specialist who:</text>
    <paragraph num="(1)">
      <text>Has at least a:</text>
      <paragraph num="(a)">
        <text>Bachelor's degree in a mental health field and 1 year of mental health experience, including mental health peer support; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Bachelor's degree in a field other than mental health and 2 years of mental health experience, including mental health peer support;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Is chosen as the case manager by the participant or the participant's legally authorized representative; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Is employed by the mental health case management provider to provide case management services to participants; and</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A community support specialist associate who:</text>
    <paragraph num="(1)">
      <text>Has at least a high school degree or the equivalent, and 2 years of experience with individuals with mental illness, including mental health peer support;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is employed by the mental health case management provider to assist community support specialists in the provision of mental health case management services to participants; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Works under the supervision of a community support specialist who delegates specific tasks to the associate.</text>
    </paragraph>
  </paragraph>
</regulation>