<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.21.26.08" title_num="10" subtitle_num="21" chapter_num="26" heading="Required Staff.">
  <paragraph num="A.">
    <text>The program director shall ensure that the RCS staff is sufficient in numbers and qualifications to carry out the program's service goals and includes, at a minimum, the staff identified in this regulation and Regulations .09 — .11 of this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Program Director. The governing body shall employ a program director who:</text>
    <paragraph num="(1)">
      <text>As determined by the governing body, has sufficient qualifications, knowledge, and experience to execute the duties of the position;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is available to provide RCS administration and supervision:</text>
      <paragraph num="(a)">
        <text>For the amount of time necessary to carry out the duties and, at a minimum, 10 hours per week; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If a RCS program operates in more than one site, by:</text>
        <paragraph num="(i)">
          <text>Designating, as necessary, staff to manage services at each site and report to the program director and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Having contact with each site each week;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Is responsible for operational oversight for, at a minimum:</text>
      <paragraph num="(a)">
        <text>Fulfilling the administrative requirements under COMAR 10.21.17 and the day-to-day operations of the RCS program;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maintaining sufficient staff, including recruiting, hiring, scheduling, and terminating;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Consulting on the development and implementation of the budget;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Keeping the governing body informed of, at a minimum, the program's approval status and performance; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>In collaboration with appropriate RCS staff, assuring staff compliance with:</text>
        <paragraph num="(i)">
          <text>Credentialing and privileging;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Appropriate training and supervision; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>When required, the on-call availability of a psychiatrist; and</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If appropriately credentialed and privileged, may provide RCS services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Treatment Coordinator. The program director shall assign to each individual who is receiving RCS a treatment coordinator who, as privileged by the program, shall provide or coordinate the services outlined in this chapter for the specific type and level of RCS.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Direct Service Providers. The program director shall employ a sufficient number of direct service providers who:</text>
    <paragraph num="(1)">
      <text>As determined by the program, have sufficient qualifications and experience to carry out the duties of the position;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Before providing services, have training applicable to the service, including, at a minimum, training in:</text>
      <paragraph num="(a)">
        <text>Crisis intervention;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Suicide prevention;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Behavior modification; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Family interactions; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>As permitted under the Health Occupations Article, Annotated Code of Maryland, and as privileged by the program, provide the level and intensity of supervision and support required under this chapter for the specific type and level of RCS indicated in an individual's ITP.</text>
    </paragraph>
  </paragraph>
</regulation>