SECTION 301.363. Supervision


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  • (a) Clinical supervision. Clinical supervision must be accomplished by an LPHA or a QMHP-CS as follows:

    (1) by conducting a documented meeting with the staff member being supervised at least monthly; and

    (2) for peer providers, by conducting an additional monthly documented observation of the peer provider providing mental health community services.

    (b) Policies and procedures. The LMHA or MCO will develop and implement written policies and procedures for supervision of all applicable levels of staff members providing services to individuals.

    (c) Licensed staff member supervision. All licensed staff members must be supervised in accordance with their practice act and applicable rules.

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

    (1) a QMHP-CS; or

    (2) an LPHA if the QMHP-CS is clinically supervising the provision of mental health community services.

    (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.

    (f) Family partner supervision. A family partner is supervised by the mental health children's director, clinic director, case management supervisor, or wraparound supervisor.

    (g) Peer provider supervision. A peer provider's designated clinical duties must be clinically supervised by an LPHA.

    (h) Peer review. The LMHA, MCO, and provider must implement a peer review process for licensed staff members that:

    (1) promotes sound clinical practice;

    (2) promotes professional growth; and

    (3) complies with applicable state laws (e.g., Medical Practice Act, Nursing Practice Act, Vocational Nurse Act) and rules.

    (i) Documentation. All clinical supervision must be documented.

Source Note: The provisions of this §301.363 adopted to be effective April 29, 2009, 34 TexReg 2603; transferred effective March 15, 2020, as published in the February 21, 2020 issue of the Texas Register, 45 TexReg 1237