Chapter IV, page 59 states that assistance with medication management must be provided by a LMHP, LMHP-R, LMHP-S,LMHP-RP or RN. Why would a LPN not be permitted to perform this activity?  ICT services must be rendered by a team that meets the requirements of 12VAC35-105-1370.  ICT/PACT teams are not required to have a LMHP except the Psychiatrist.  Most teams only have one additional LMHP in order to complete the SSPI or Comprehensive Assessment.  The nursing requirement for ICT is one full time nurse, but is not required to be RN, he/she may be a LPN.  The requirement for PACT teams is to have three qualified full-time nurses at least one of whom shall be a qualified RN, the rest being LPNs.  On many teams there would not be sufficient qualified staffing to provide medication management if if QMHPs and/or LPNs are not able to provide this activity.