4.4 Collaborative Behavioral Health Services/Supervision of team members

Frequency of staff meetings and content of staff meetings seems beyond the scope of Medicaid regulations. 

4.5 #3 and 4.5 #6 seem to contradict each other. 

“Documentation of staff supervision must be maintained in the staff employment records”  Again, this is overly prescriptive—documentation of supervision is perfectly reasonable, to dictate where it is stored is not. 

4.5.1  “LMHPs shall receive at least one hour per calendar month of individual supervision by the agency’s Clinical Director. If an agency employs only a single LMHP who serves as the Clinical Director, this is not required.”  Does this just apply to LMHP’s providing CPST—if so, should state clearly. If the LMHP is being supervised by another LMHP that is not the Clinical Director, why do they need to meet with the clinical director?