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US · guidance

CMS SOM App. FC, Tag M0106

§485.904(b)(4) Social worker

activein force · 2026-07-22 – presentas-observed

An individual who—

(i) Has a baccalaureate degree in social work from an institution accredited by the

Council on Social Work Education, or a baccalaureate degree in psychology or

sociology, and is supervised by a clinical social worker, as described in

paragraph (b)(3)of this section; and

(ii) Has 1 year of social work experience in a psychiatric healthcare setting.

Interpretive Guidelines §485.904(b)(4)

If a facility chooses to employ a social worker with a Bachelor’s degree in social work,

psychology, or sociology, there must be evidence that the services of the social worker are

provided under the supervision of a clinical social worker with an MSW or a doctoral

degree in social work. The MSW or PhD supervisor role is that of an active advisor,

consulting with the BSW on assessing the needs of clients, developing and updating the

social work portion of the active treatment plan, and delivering care to clients. The

supervision may occur over the telephone, through electronic communication, or any

combination thereof.

History

Rev. 196, Issued: 01-10-20, Effective: 01-10-20, Implementation: 01-10-20

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
27070bfe882fac188890657921a036d573044f4ab0a320b85840cf551618540e
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