In this draft, assessments/reassessments, and individualized service plans are to be completed by LMHP type staff. Currently, a QMHP-A can complete the case management reassessments and ISP. Recruitment of LMHP staff is challenging in the current workforce. It is concerning that this could result in long wait times for getting individuals started in needed services. It is also concerning putting individuals with a SMI in a certain tier level as often an individual's level of services needed can fluctuate.