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facility staff, professional program staff meeting the qualifications of paragraph (b)(5)(i)

through (x) of this section are not required-

(A) Except for qualified intellectual disability professionals;

(B) Except for the requirements of paragraph (b)(2) of this section concerning the facility's

provision of enough qualified professional program staff; and

(C) Unless otherwise specified by State licensure and certification requirements.

Guidance §483.430(b)(5)(xi)

An individual client program may not require that professional staff perform all of the services

as outlined by the IPP (e.g. the direct support staff may be trained by the professional to safely

and effectively carry out the designed program), however, any specialized therapy must involve

evaluation, program development, and re-assessment by the appropriate professional at

periodic intervals.

(c) Standard: Facility staffing