130 C.M.R. 461.411 – Staffing Requirements

(A) Minimum Staffing Requirements. Each program must meet the minimum staffing and staff composition requirements outlined in 130 CMR 461.411 to adequately provide the required scope of services set forth in 130 CMR 461.410. The staff must include an adequate number of qualified personnel to fulfill the program’s objective.
(B) Minimum Staff Composition.
1. (1) Program Director. The CSP program must designate a professional as overall administrator and program director in charge of day-to-day administration of the program. The program director’s responsibilities include:
2. (a) hiring and firing of CSP staff;
3. (b) establishing and implementing a supervision protocol;
4. (c) establishing CSP policies and procedures;

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-11

Provider Manual Series (130 CMR 461.000)

Transmittal Letter Date

Community Support Program Services

Manual

CSP-1 04/28/23

(d) accountability for adequacy and appropriateness of member service;
(e) coordinating staff activities to meet program objectives;
(f) program evaluation; and
(g) establishing and supervising in-service training and education.
(2) Multidisciplinary Staff.
(a) The program must employ a multidisciplinary staff that can support the schedule of operations and provide services to members. A member of the program's professional or paraprofessional staff must be assigned to each member to assume primary responsibility for that member’s case.
(b) The program must employ the number of staff necessary to implement all aspects of the service plan; maintain the member’s records; initiate periodic review of the service plan for necessary modifications or adjustments; coordinate the various services provided by the program itself and by other agencies; coordinate referrals to other state agencies as needed; meet regularly with relatives and significant friends of the member; and monitor the member’s progress in accomplishing the treatment goals.
(c) The program must have a licensed, master’s-level behavioral health clinician or licensed psychologist to provide supervision to CSP staff.
(d) All staff must have at least a bachelor’s degree in a related behavioral health field, or two years of relevant work experience, or lived experience of homelessness, behavioral health conditions and/or justice involvement.
(e) Staff may include qualified Certified Peer Specialists and staff with lived experience of homelessness, behavioral health conditions or justice involvement.

461.412: Supervision, Training, and Other Staff Requirements

(A) Staff Supervision Requirements. CSP staff must have access to a licensed, master’s-level behavioral health clinician or licensed psychologist, with training and experience in providing support services to adults or youth with behavioral health conditions, to provide supervision. Each staff member must receive supervision appropriate to the staff member’s skills and level of professional development. Supervision must occur in accordance with the program’s policies and procedures and must include review of specific member issues, as well as a review of general principles and practices related to mental health, substance use disorder, and medical conditions.
(B) Staff Training. The program must ensure that staff receive training to enhance and broaden their skills. Recommended training topics may include but are not limited to:
1. (1) common diagnoses across medical and behavioral healthcare;
2. (2) engagement and outreach skills and strategies;
3. (3) Service coordination skills and strategies;
4. (4) behavioral health and medical services, community resources, and natural supports;
5. (5) principles of recovery and wellness;
6. (6) cultural competence;
7. (7) managing professional relationships with members including but not limited to boundaries, confidentiality, and peers as CSP workers;
8. (8) service termination;
9. (9) motivational interviewing;