ARM 37.87.1410. HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), PROVIDER REQUIREMENTS

(1) Effective January 31, 2014, HSS and TFC providers must be a mental health center as described in ARM Title 37, chapter 106, subchapter 19. (2) Providers of therapeutic foster care must also be a child-placing agency. (3) A full-time clinical lead is responsible for not more than five full-time home support services specialists (HSS-S). (4) The clinical lead must: (a) provide direction and consultation to the HSS-S to address the clinical needs of the youth and the caregiver as identified in the individualized treatment plan (ITP); (b) respond to the youth and the caregiver's needs when the HSS-S is not available; (c) orient, train, and coach the HSS-S; and (d) provide one-on-one supervision at least monthly to the HSS-S. (5) A full-time HSS-S is responsible for not more than ten youths at a time. (6) The following requirements must be met by either the clinical lead or the HSS-S or both: (a) provide contacts at the frequency, location, and duration that are sufficient to meet the identified needs of the youth and the caregiver, the duration of the contacts are not limited; (b) conduct a minimum of four scheduled contacts or sessions with the caregiver in each four-week period, two of which must be face-to-face, based on the needs of the caregiver and documented in the ITP; and (c) conduct a minimum of two scheduled face-to-face treatment sessions with the youth in each four-week period, based on the needs of the youth and documented in the ITP. (7) 24/7 face-to-face and telephonic crisis response is expected. (8) Providers of HSS and TFC must use a research-based practice curriculum specific to provide family-based services. Staff training in the research-based practice must be documented in the provider personnel records.