B.  Professional Staffing Standards. All BHS providers shall, at a minimum, have the following staff:1.  a medical director who:a.  is a physician, or an advanced practice registered nurse, or a medical psychologist, with a current, unrestricted license to practice in the state of Louisiana with two years of qualifying experience in treating psychiatric disorders; see full law

2.  a clinical director who, for those mental health rehabilitation providers which exclusively provide the evidenced-based practice multi-systemic therapy (MST), functional family therapy (FFT) or Homebuilders(R):a.  is a licensed psychiatrist, psychologist, clinical social worker, professional counselor (LPC) or marriage and family therapist (LMFT) with a minimum of two years qualifying experience in treating psychiatric disorders and who maintains a current, unrestricted license to practice in the state of Louisiana; see full law

5.  nursing staff who, for those BHS providers whose services include medication management and/or addiction treatment services,:a.  provide the nursing care and services under the direction of a registered nurse necessary to meet the needs of the clients; andb.  have a valid current nursing license in the State of Louisiana.i.  A BHS provider with clients who are unable to self-administer medication shall have a sufficient number of nurses on staff to meet the medication needs of its clients.ii.  Nursing services may be provided directly by the BHS provider or may be provided or arranged via written contract, agreement, policy, or other document. The BHS provider shall maintain documentation of such arrangement see full law

B.  Staffing1.  Medical Directora.  The provider shall ensure that its medical director is a licensed physician who:i.  is an addictionologist; orii.  meets all of the following:(a).  is board-eligible or board-certified;(b).  has two years of qualifying experience in treating addictive disorders; and(c).  maintains a consulting relationship with an addictionologist.b.  A PA may perform duties as designated by the supervising physician in accordance with the Louisiana State Board of Medical Examiners.c.  The APRN shall have a collaborative practice agreement with a physician in accordance with the Louisiana State Board of Nursing.2.  LMHPs. The LMHP providing addiction treatment services shall have documented credentials, experience and/or training in working with clients who have addictive disorders.3.  UPs. A UP providing addiction treatment services shall meet one of the following qualifications:a.  a master's-prepared behavioral health professional that has not obtained full licensure privileges and is participating in ongoing professional supervision. When working in addiction treatment settings, the master's prepared UP shall be supervised by a LMHP who meets the requirements of this Section;b.  be a registered addiction counselor;c.  be a certified addiction counselor; ord.  be a counselor in training (CIT) that is registered with ADRA and is currently participating in a supervisory relationship with a ADRA-registered certified clinical supervisor (CCS). see full law

1.  Pharmacist or Dispensing Physiciana.  An opioid treatment program that dispenses prescription medication on-site shall employ or contract with a pharmacist or dispensing physician to assure that any prescription medication dispensed on-site meets the requirements of applicable state statutes and regulations.b.  The pharmacist or dispensing physician shall have a current, valid unrestricted license to practice in the state of Louisiana.c.  The provider's pharmacist or dispensing physician shall:i.  provide on-site services;ii.  dispense all medications;iii.  consult with the provider as needed;iv.  evaluate medication policy and procedure of provider to dispense medications;v.  reconcile inventories of medications that were dispensed and/or administered at least every 30 days;vi.  maintain medication records for at least three years in accordance with state laws, rules and regulations; andvii.  approve all transport devices for take-home medications in accordance with the program's diversion control policy. see full law

2.  Nursinga.  The provider shall maintain a nursing staff sufficient to meet the needs of the clients.b.  Each nurse shall have a current unrestricted license to practice nursing in the state of Louisiana.c.  The responsibilities of the nurse(s) include but are not limited to:i.  administering medications; andii.  monitoring the client's response to medications. see full law

3.  Licensed Mental Health Professionalsa.  The provider shall maintain a sufficient number of LMHPs to meet the needs of its clients and there is at least one LMHP or UP on site when clinical services are being provided.b.  The provider shall ensure that:i.  the caseload of the LMHP shall not exceed 75 active clients; andii.  there is an LMHP on site at least five hours/week. see full law

5.  Physician or APRN. There shall be a physician or APRN who is on-site as needed or on-call as needed during hours of operation. see full law