<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.21.20.10" title_num="10" subtitle_num="21" chapter_num="20" heading="Program Staff.">
  <paragraph num="A.">
    <text>Required Staff. The OMHC shall have staff that is sufficient in numbers and qualifications to provide clinically appropriate services to the individuals served and includes, at a minimum:</text>
    <paragraph num="(1)">
      <text>A program director who is:</text>
      <paragraph num="(a)">
        <text>A licensed mental health professional, or has a master's degree in one of the following fields:</text>
        <paragraph num="(i)">
          <text>Mental health;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Health services; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Business administration;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Employed by the OMHC at least 20 hours per week; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Responsible for administrative oversight of the OMHC, including, at a minimum:</text>
        <paragraph num="(i)">
          <text>Fulfilling the administrative requirements under COMAR 10.21.17;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Fulfilling the requirements of this chapter;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Ensuring the continuity of service if clinical staff at the OMHC site are unavailable to fulfill their responsibilities to the individuals served;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Ensuring a system of clinical supervision of the multidisciplinary treatment staff; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Having knowledge of all regulatory requirements related to the operation of the program;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A medical director who:</text>
      <paragraph num="(a)">
        <text>Is a psychiatrist;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is employed by and is on site at the OMHC at least 20 hours per week;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>If employed full time by the program, may also serve as program director; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Has overall responsibility for clinical services, including, at a minimum:</text>
        <paragraph num="(i)">
          <text>Establishing and maintaining appropriate standards for diagnosis and treatment, including therapeutic modalities and prescribing practices;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Medical aspects of quality management;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Adequate physician coverage; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Ensuring adequate clinical supervision of treatment staff;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>A multidisciplinary licensed mental health professional staff that:</text>
      <paragraph num="(a)">
        <text>Provides evaluation and treatment services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is in addition to the OMHC psychiatrist; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Includes representatives of two different mental health professions both of which are represented on-site 50 percent of the OMHC's regularly scheduled hours.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Students. The program may use students according to the provisions of COMAR 10.21.17.12E.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Volunteers. The program may use volunteers according to the provisions of COMAR 10.21.17.12F.</text>
  </paragraph>
</regulation>