The provider agency must include the following information for each staff member for whom it requests a waiver:
  (1) name;
  (2) job title;
  (3) specific education or experience that qualifies the staff member for the waiver; and
  (4) a statement that he or she is competent in providing services.

Source Note: The provisions of this §58.57 adopted to be effective April 1, 2004, 29 TexReg 2381