(1) Therapeutic family care agencies employ or contract with treatment supervisors, treatment managers, and mental health assistants.

(2) A FTE treatment supervisor is responsible for not more than five FTE treatment managers.

(3) The treatment supervisor:

(a) is responsible for the overall provision of therapeutic services for youths approved by the department to receive therapeutic family care through the provision of clinical oversight, supervision, and consultation;

(b) provides regular support and guidance to the treatment manager through at least twice monthly treatment supervisory meetings; and

(c) provides coordination and back-up to assure 24-hour on-call intervention services are available and delivered as needed.

(4) A FTE treatment manager is responsible for not more than ten youths at any time.

(5) A treatment manager:

(a) provides 24-hour on-call intervention services to treatment parents;

(b) organizes and leads all treatment team meetings; and

(c) provides direct therapeutic services and consultation as needed.

(6) A mental health assistant is assigned to provide services for ten hours per week to each youth receiving intensive level therapeutic family care.

(7) The mental health assistant:

(a) receives supervision and work assignments from the treatment manager under the supervision of the treatment supervisor and routine guidance from the treatment parent(s) in the provision of services described in the youth's individual treatment plan. These services include:

(i) one-on-one supervision;

(ii) behavior management; and

(iii) assistance to the treatment parents in the provision of treatment services.

(b) A mental health assistant does not:

(i) provide services which are the responsibility of a public school district;

(ii) provide transportation services which are reimbursed by the Montana Medicaid program;

(iii) provide housekeeping services to the therapeutic family;

(iv) supervise and/or care for a youth or youths other than the youth approved by the department to receive intensive level therapeutic family care; or

(v) provide any services beyond those identified in the youth's individual treatment plan.