---
kind: "section"
citation: "42 C.F.R. § 432.31"
title: "42"
number: "432.31"
heading: "Training and use of subprofessional staff."
url: "https://uscodex.org/cfr/42/432.31"
---

# §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) **Beneficiaries.**
- (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.**

## Notes

### Authority

Authority: Sec. 1102 of the Social Security Act (42 U.S.C. 1302).

### Source

Source: 43 FR 45199, Sept. 29, 1978, unless otherwise noted.