1. (a) Policies and procedures. The comprehensive provider agency must develop and implement written policies and procedures for supervision of all applicable levels of staff members providing services to individuals.
2. (b) Licensed staff member supervision. All licensed staff members must be supervised in accordance with applicable law and rules.

3. (c) Clinical supervision.

   1. (1) Clinical supervision must be provided by an LPHA or a QMHP-CS.
   2. (2) The supervising LPHA or QMHP-CS must conduct at least monthly documented meetings with each staff member being supervised.
   3. (3) For staff members providing mental health rehabilitative services, the supervising LPHA or QMHP-CS must be an employee of the comprehensive provider agency and conduct a documented observation of the staff member providing mental health rehabilitative services at a frequency determined by the supervisor based on the staff member's skill level.

   4. (4) For staff members providing mental health targeted case management, the supervising QMHP-CS must:

      1. (A) be an employee of the comprehensive provider agency;
      2. (B) demonstrate competency in mental health targeted case management evidenced-based practices; and
      3. (C) demonstrate competencies outlined in §353.1413 of this subchapter (relating to Staff Member Competency).

4. (d) QMHP-CS supervision. A QMHP-CS's designated clinical duties must be clinically supervised by:

   1. (1) a QMHP-CS; or
   2. (2) an LPHA if the QMHP-CS is clinically supervising another QMHP-CS for the provision of mental health targeted case management and mental health rehabilitative services.
5. (e) CSSP supervision. A CSSP's designated clinical duties must be clinically supervised by a QMHP-CS. The CSSP must have access to clinical consultation with an LPHA when necessary.
6. (f) CFP supervision. A CFP must be directly supervised by a QMHP-CS who has at least one year's experience in the HHSC-approved recovery and resilience protocol.

7. (g) Peer provider supervision.

   1. (1) A peer provider's designated clinical duties must be under the direct clinical supervision of an LPHA.
   2. (2) The supervising LPHA must conduct at least monthly documented meetings with each peer provider being supervised.
   3. (3) The supervising LPHA must conduct and document an additional monthly observation of each peer provider providing mental health rehabilitative services.

8. (h) Peer review. The comprehensive provider agency must implement a peer review process for licensed staff members that:

   1. (1) promotes sound clinical practice consistent with the HHSC-approved resiliency and recovery protocol;
   2. (2) promotes professional growth; and
   3. (3) complies with applicable state laws and rules.
9. (i) Documentation. All clinical supervision must be documented.

Source Note:The provisions of this §353.1419 adopted to be effective October 17, 2018, 43 TexReg 6816.