Weekly team meetings and high supervision expectations are not feasible under current workforce and budget constraints.

• While group supervision is allowed, aligning schedules and discussing each team case within group limits will be difficult in order to have a in-house team meeting, with no reimbursement ability for anyone, yet it must occur weekly

• Essential the LMHP would have to provide supervision, team meetings, review daily case notes and sign off or write a summary note, be on call, there is so much that we are asking for them to do, is it realistic

• These requirements increase administrative burden without clear reimbursement. 

• The draft places additional strain on licensed staff by not fully utilizing LMHP-Rs, LMHP-Ss, and other license-eligible staff, despite current state policy allowing them to provide services under supervision.