TRAINING REQUIREMENTS BY SERVICE

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1 Attachment I TRAINING REQUIREMENTS BY SERVICE Applied Behavioral Analysis ACT Assessment Behavior Treatment Review Children s Waiver Clinical Services (OT/PT/SLP) 1. Advance Directives x x x x 2. Behavioral Treatment/Crisis Intervention (MANDT) x* x* x* x* x* x* x x* x x* 3. Corporate Compliance x x x x x x x x x x x x x x x 4. Cultural Competence x x x x x x x x x x x x x x x x 5. Emergency Preparedness 6. First Aid/CPR x x x x x x x x x x x 7. Grievance and Appeals x x x x x x x x x x x x x x x x x 8. Health & Wellness 9. HIPAA x x x x x x x x x x x x x x x x x x 10. Limited English Proficiency (LEP) x x x x x x x x x x x x x x x x x x 11. Medication Administration and Monitoring (w/vital Skills Demo) 12. Nutrition & Food Safety x 13. Person-Centered/Individualized Treatment Planning x x x x x x x x x x x x x x 14. Recipient Rights x x x x x x x x x x x x x x x x x x x 15. Self-Determination / Recovery / Resiliency x x x x x x x x x 16. Standard Precautions x x x x x x x x x x x x x x x x x Clubhouse CLS Crisis Intervention Crisis Residential Direct Prevention Enhanced Pharmacy Family Support and Training Fiscal Intermediary Health Services Home Based Housing Assistance Intensive Crisis Stabilization Ind. Adult/Family/Group Tx. Nursing Facility MH Monitor. OBRA PAS/SAR *LRE will develop less intensive non-physical intervention/crisis management training program for those areas that do not require MANDT.

2 Attachment I TRAINING REQUIREMENTS BY SERVICE Peer Delivered Services Personal Care in Res. Setting Private Duty Nursing Psychiatric Services 1. Advance Directives x x x x x x x x 2. Behavioral Treatment/Crisis Intervention (MANDT) x x* x* x* x* x* 3. Corporate Compliance x x x x x x x x x x x x x x x x x x 4. Cultural Competence x x x x x x x x x x x x x x x x x x 5. Emergency Preparedness x 6. First Aid / CPR x x x x x x x x x x x x x x x x x x 7. Grievance and Appeals x x x x x x x x x x x x x x x x x x 8. Health & Wellness x 9. HIPAA x x x x x x x x x x x x x x x x x x 10. Limited English Proficiency (LEP) x x x x x x x x x x x x x x x x x x 11. Medication Administration and Monitoring (w/vital Skills Demo) 12. Nutrition & Food Safety x 13. Person-Centered/Individualized Treatment Planning x x x x x x x x x x x x x x x x x 14. Recipient Rights x x x x x x x x x x x x x x x x x x 15. Self-Determination / Recovery / Resiliency x x x x x x x x x 16. Standard Precautions x x x x x x x x x x x x x x x x x x Respite SED Waiver Skill Building SUD Community Based Tx SUD Medication Assisted Tx. SUD Outpatient Tx. SUD Residential Treatment x SUD Res. Withdrawal Mgmt. Supported Employment Supports Coordination Targeted Case Management Transportation Treatment Planning Wraparound *LRE will develop less intensive non-physical intervention/crisis management training program for those areas that do not require MANDT.

3 1. Advance Directives & Every 2 years MDHHS Contract section on < 30 days of hire and prior to working independently Advance Directives with individuals served Additionally, prior to execution of a new provider contract, one agency staff member needs to complete Every 2 years 2. Behavioral Treatment / Crisis Intervention (MANDT) 3. Corporate Compliance Additionally If through the Quality Monitoring Review or MDHHS Site Review deficiencies are noted in this area, additional training may be required As per certification or otherwise required Staff are to be trained within the work setting on the use of techniques written in behavioral treatment plans and emergency and/or crisis plans. <60 days of hire When applicable laws and/or regulations change CMHSP may require a training update 4. Cultural Competence Additionally If through the Quality Monitoring Review or DCH Site Review deficiencies are noted in this area, additional training may be required. & Curriculum must be approved by MDHHS All staff within the same program setting must be trained in same approach MANDT must be taken sequentially and within a consecutive 2-month period. ALL STAFF MUST have CMH classroom training SP on Corporate Compliance may be used 2 out of every 3 years Classroom through ACRG must be at least 1 of every 3 years SP MDHHS Contract Technical Requirement for Behavior Treatment Plan Review Committee. Administrative Rule (z) OSHA Publication R (2004) Medicaid Integrity Program (MIP) Medicaid False Claims Act of 1977 Michigan False Claims Act, Act 72 of 1977 Deficit Reduction Act of 2005 Affordable Care Act of 2010 CARF 1. A. 6. Code of Federal Regulations 42 CFR (c)(2) Cultural Considerations MDHHS Contract Part II 3.0, Access Assurance Section on Cultural Competence MDHHS Contract Part I, 15.7 (LEP) Attachment I: Training Requirements Page 3 of 5

4 5. Emergency Preparedness 6. First Aid / CPR Current certification prior to using & prior to filling the role of the minimum of one agency representative (see next cell) As per certificate 7. Grievance & Appeals < 30 days of hire and prior to working independently with individuals served 8. Health & Wellness Health/Wellness & Medications Update 9. HIPAA 10. Limited English Proficiency (LEP) Update every year As changes occur in the policies or procedures required by HIPAA & which must include return demonstration Through an American Red Cross certified trainer which must include return demonstration Through an American Heart Association certified trainer which must include return demonstration Through a National Safety Council certified trainer which must include return demonstration & Options as approved by CMH Lakeshore LMS online hybrid course (both online AND classroom portions) Health & Meds Update & Medicaid Provider Manual 2.4, 14.5.A, and 15.2.C MDHHS Contract Attachment Lakeshore Regional Entity Policy 6.2 Code of Federal Regulations 45CFR (a)(5)(i) and (b)(1) Code of Federal Regulations 42 CFR (c)(2) Cultural Considerations MDHHS Contract Part I, 15.7 (LEP) Attachment I: Training Requirements Page 4 of 5

5 11. Medication Administration and Monitoring with Medication Vital Skills Demonstration 60 days of hire Must be completed prior to working as lead staff or working independently if job includes passing, observing, or holding of medications Health/Wellness & Medications Update Lakeshore LMS online hybrid course (both online AND classroom portions) Health & Meds Update 12. Nutrition & Food Safety 13. Person-Centered Planning for all staff MDHHS contract Part IV.A.4 Administrative Rule R (G) 14. Recipient Rights < 30 days of hire 15. Self-Determination <6 months of hire 16. Standard Precautions Every 2 years Before assignment of any work carrying exposure risk Options as approved by CMH Office of RR Classroom training through ACRG Options as approved by CMH Office of RR & & OSHA approved Standard Precautions curriculum MH Code: Sec (5)(f) Medicaid Managed Specialty Supports and Services contract Section P OSHA Administrative Rule R Administrative Rule R (7)(a) specifies initial training and annual retraining Administrative Rule R (10) Attachment I: Training Requirements Page 5 of 5

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