[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR432.31]



[Page 69]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 432_STATE PERSONNEL ADMINISTRATION--Table of Contents

 

   Subpart B_Training Programs; Subprofessional and Volunteer Programs

 

Sec.  432.31  Training and use of subprofessional staff.



    (a) State plan requirement. A State plan must provide for the 

training and effective use of subprofessional staff as community service 

aides, in accordance with the requirements of this section.

    (b) Recruitment and selection. The Medicaid agency must have methods 

of recruitment and selection that afford opportunity for full-time or 

part-time employment of persons of low income, including:

    (1) Young, middle-aged, and older persons;

    (2) Physically and mentally disabled; and

    (3) Recipients.

    (c) Merit system. Subprofessional positions must be subject to merit 

system requirements except where special exemption is approved on the 

basis of a State alternative plan for employment of disadvantaged 

persons.

    (d) Staffing plan. The agency staffing plan must include the kinds 

of jobs that subprofessional staff can perform.

    (e) Career service. The agency must have a career service program 

that allows persons:

    (1) To enter employment at the subprofessional level; and

    (2) To progress to positions of increasing responsibility and 

reward:

    (i) In accordance with their abilities; and

    (ii) Through work experience and pre-service and in-service 

training.

    (f) Training, supervision and supportive services. The agency must 

have an organized training program, supervision, and supportive services 

for subprofessional staff.

    (g) Progressive expansion. The agency must provide for annual 

increase in the number of subprofessional staff until:

    (1) An appropriate ratio of subprofessional and professional staff 

has been achieved; and

    (2) There is maximum use of subprofessional staff as community aides 

in the operation of the program.