(c) Programs must be certified by the office to provide outpatient rehabilitation services.

1. (1) at least one half-time therapeutic recreation therapist or occupational therapist or vocational specialist, certified as a rehabilitation counselor or qualified health professional with one year of experience and/or training in providing recreation, occupation and/or rehabilitation services; and
2. (2) at least one part-time nurse practitioner, registered physician's assistant, or registered nurse, or a licensed practical nurse supervised by a registered nurse employed by the governing authority.

(d) Staffing.

There must be at least one full-time equivalent counselor or therapist for every 20 patients receiving outpatient rehabilitation services. If volunteers or student interns are used, they may not be counted in the counselor-to-patient ratio. In addition to the staffing required in section 822.7 of this Part, the following additional staff members are required:

(e) If a program is providing outpatient rehabilitation services, the following services must be available either directly or through written agreements:

1. (1) socialization development;
2. (2) skill development in accessing community services;
3. (3) activity therapies; and
4. (4) information and education about nutritional requirements, including but not limited to planning, food purchasing, preparation and clean-up.