Staffing

(A) Personnel Policies. (1) Current job descriptions must be available for all positions of the staff. (2) Written personnel policies must be available to all personnel. (3) An evaluation and review of the job performance of all personnel must be conducted annually. Division of Medical Assistance SUBCHAPTER NUMBER AND TITLE 4 PROGRAM REGULATIONS PAGE FAMILY PLANNING AGENCY MANUAL TRANSMITTAL LETTER DATE (B) Personnel Qualifications and Responsibilities. (1) Administrator. A family planning agency must employ a full-time administrator who is responsible for supervising family planning services and for managing the family planning agency. The administrator must have demonstrated experience in the area of health-care administration. (2) Medical Director. A family planning agency must employ a medical director who is a physician licensed by the Massachusetts Board of Registration in Medicine and who has demonstrated familiarity with gynecological examination and contraceptive prescription. The medical director is responsible for coordinating medical-staff activities as well as the medical aspects of the family planning program. The medical director assumes responsibility for the implementation of family planning protocol (see 130 CMR 421.412(E)); the maintenance of clinic standards; and the credentials review, training, and supervision of all staff physicians, nurse practitioners, and other medical personnel. (3) Physician. A physician who is licensed by the Massachusetts Board of Registration in Medicine and who has demonstrated familiarity with gynecological examination and contraceptive prescription may provide medical care and medical supervision in a family planning agency. A physician must be either on site or on call during all clinic sessions. (4) Nurse Practitioner. A nurse practitioner who is licensed by the Massachusetts Board of Registration in Nursing may work in a family planning agency in collaboration with a physician. A nurse practitioner must comply with all conditions of licensure and certification, including all statutory and regulatory provisions governing nurse practitioner practice. On the basis of the nurse practitioner's education, experience, and clinical skills, the medical director must define and must reevaluate annually the nurse practitioner's responsibilities. (5) Physician Assistant. A physician assistant who is a graduate of a program approved by the Massachusetts Board of Approval and Certification of Physician Assistant Programs may work in a family planning agency under the supervision of a physician. A physician assistant must comply with all statutory and regulatory provisions governing physician-assistant practice. On the basis of the physician assistant's education, experience, and clinical skills, the supervising physician must define and must reevaluate annually the physician assistant's responsibilities. (6) Nurse. A nurse who is licensed by the Massachusetts Board of Registration in Nursing as a registered nurse or a licensed practical nurse may assist the physician, take medical histories, and conduct patient education and instruction about contraception in a family planning agency. (7) Counselor or Outreach Worker. A counselor or outreach worker who has studied human anatomy and physiology, human reproduction, contraceptive methods, and counseling techniques may provide patient education, counseling, follow-up, and community education for a family planning agency. (C) In-Service Training. Family planning agency personnel must participate in continuing education programs related to their activities, including orientation, on-the-job training, and regular in-service training. (130 CMR 421.406 through 421.410 Reserved) Division of Medical Assistance SUBCHAPTER NUMBER AND TITLE 4 PROGRAM REGULATIONS PAGE FAMILY PLANNING AGENCY MANUAL TRANSMITTAL LETTER DATE