441—77.38 (249A) Assertive community treatment. Services in the assertive community treatment (ACT) program shall be rendered by a multidisciplinary team composed of practitioners from the disciplines described in this rule. The team shall be under the clinical supervision of a psychiatrist. The program shall designate an individual team member who shall be responsible for administration of the program, including authority to sign documents and receive payment on behalf of the program.
	 77.38(1) Minimum composition. At a minimum, the team shall consist of a nurse, a mental health service provider, and a substance abuse treatment professional.
	 77.38(2) Psychiatrists. A psychiatrist on the team shall be a physician (MD or DO) who:
	  a.   	 Is licensed under 653—Chapter 9,
	  b.   	 Is certified as a psychiatrist by the American Board of Medical Specialties’ Board of Psychiatry and Neurology or by the American Osteopathic Board of Neurology and Psychiatry, and
	  c.   	 Has experience treating serious and persistent mental illness.
	 77.38(3) Registered nurses. A nurse on the team shall:
	  a.   	 Be licensed as a registered nurse under 655—Chapter 3, and
	  b.   	 Have experience treating persons with serious and persistent mental illness.
	 77.38(4) Mental health service providers. A mental health service provider on the team shall be:
	  a.   	 A mental health counselor or marital and family therapist who:
	 (1) 	 Is licensed under 645—Chapter 31, and
	 (2) 	 Has experience treating persons with serious and persistent mental illness; or
	  b.   	 A social worker who:
	 (1) 	 Is licensed as a master or independent social worker under 645—Chapter 280, and
	 (2) 	 Has experience treating persons with serious and persistent mental illness.
	 77.38(5) Psychologists. A psychologist on the team shall:
	  a.   	 Be licensed under 645—Chapter 240, and
	  b.   	 Have experience treating persons with serious and persistent mental illness.
	 77.38(6) Substance abuse treatment professionals. A substance abuse treatment professional on the team shall:
	  a.   	 Be an appropriately credentialed counselor pursuant to 641—paragraph 155.21(8)“i,” and
	  b.   	 Have at least three years of experience treating substance abuse.
	 77.38(7) Peer specialists. A peer specialist on the team shall be a person with serious and persistent mental illness who has met all requirements of a nationally standardized peer support training program, including at least 30 hours of training and satisfactory completion of an examination.
	 77.38(8) Community support specialists. A community support specialist on the team shall be a person who:
	  a.   	 Has a bachelor’s degree (BA or BS) in a human services field (sociology, social work, counseling, psychology, or human services), and
	  b.   	 Has experience supporting persons with serious and persistent mental illness.
	 77.38(9) Case managers. A case manager on the team shall be a person who:
	  a.   	 Has a bachelor’s degree (BA or BS) in a human services field (sociology, social work, counseling, psychology, or human services),
	  b.   	 Has experience managing care for persons with serious and persistent mental illness, and
	  c.   	 Meets the qualifications of	“qualified case managers and supervisors” in rule 441—24.1(225C).
	 77.38(10) Advanced registered nurse practitioners. An advanced registered nurse practitioner on the team shall:
	  a.   	 Be licensed under 655—Chapter 7,
	  b.   	 Have a mental health certification, and
	  c.   	 Have experience treating serious and persistent mental illness.
	 77.38(11) Physician assistants. A physician assistant on the team shall:
	  a.   	 Be licensed under 645—Chapter 326,
	  b.   	 Have experience treating persons with serious and persistent mental illness, and
	  c.   	 Practice under the supervision of a psychiatrist.
This rule is intended to implement Iowa Code section 249A.4.
[ARC 9440B, IAB 4/6/11, effective 4/1/11]