This section establishes staffing requirements for intensive case management (ICM) services, including caseload limits (no more than 30 cases per manager), supervisor-to-staff ratios (one supervisor to no more than seven case managers), 24/7 coverage policies, and rules governing full-time versus part-time case manager employment. Providers must also designate a substitute case manager during absences and maintain proportionate staffing when caseloads are insufficient for full-time positions. These requirements apply to community-based mental health intensive case management programs governed under Chapter 5221.
View official source55 Pa. Code § 5221.23 - Staffing patterns and limits State Regulations Compare (a) The provider shall have a written policy showing how 24-hour, 7-day per week coverage for intensive case management services is provided. This policy shall be made available to the Department upon request. (b) The number of cases in a caseload shall be based on the intensity of the need for service but may not exceed 30. (c) Team assignments to provide intensive case management services are not precluded as long as a single intensive case manager can be held accountable for the services provided to each case. (d) A supervisor may supervise no more than seven intensive case managers. A supervisor shall maintain a minimum of three contacts one meeting per week with intensive case managers with additional supervision depending upon the performance of the case manager, the activity of the caseload and administrative judgment. (e) If there are less than seven intensive case managers providing intensive case management, supervisory staff time shall be at least proportionate to the ratio of one full-time supervisor to seven intensive case managers. (f) Intensive case managers shall be employed as full time staff unless an exception is approved by the county administrator and the area office of mental health. (1) When a part-time case manager has been approved, the case manager may not provide mental health service except intensive case management to a person on his caseload. (2) When there is not a sufficient number of eligible persons to constitute a full-time caseload, part-time case management and supervisory staff shall be proportionate to the caseload and supervisory ratios stated in subsections (a), (d) and (e) and organized and operated in a manner that clearly records and identifies time spent on intensive case management. (g) During the absence or illness of an intensive case manager, the provider shall temporarily designate another intensive case manager to be responsible for every adult or child on the absent intensive case manager's caseload. (h) For recordkeeping and billing purposes, services to the child and family members shall be considered together as one case or caseload. Notes 55 Pa. Code § 5221.23 State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare. No prior version found. State Regulations Toolbox