130 CMR 449.414
Supervision, Training, and Other Staff Requirements
(A) Staff Supervision Requirements. 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 facility must ensure that staff receive training to enhance and broaden
their skills. Recommended training topics include but are not limited to:
(1) common diagnoses across medical and behavioral healthcare;
(2) engagement and outreach skills and strategies;
(3) service coordination skills and strategies;
(4) behavioral health and medical services, community resources, and natural supports;
(5) principles of recovery and wellness;
(6) cultural competence;
(7) managing professional relationships with members including but not limited to
boundaries, confidentiality, and peers as CSP workers;
(8) service termination;
(9) motivational interviewing;
(10) accessibility and accommodations;
(11) trauma-informed care;
(12) traumatic brain injuries; and
(13) safety protocols.
(C) Staff Professional Standards. Any staff, of any discipline, operating in the facility must
comport with the standards and scope of practice delineated in their professional licensure and be
in good standing with their board of professional licensure, as applicable. Each facility must
notify the MassHealth agency of any staff who are sanctioned by the Department of Public Health
or sanctioned by their board of licensure, as applicable.
(D) Staffing Plan. The facility must maintain a staffing plan that includes policies and procedures
to ensure all staffing and supervision requirements pursuant to 130 CMR 449.000 are met. The
staffing plan must include a safety protocol outlining how adverse incidents are documented and
addressed.
(E) Conflict of Interest. The facility must ensure appropriate protections against conflicts of
interest in the service planning and delivery of covered services.