Ensure residents are attending required inâhouse groups, meetings, and program activities as scheduled, with a minimum expectation of five (5) hours per week of structured programming, consistent with Medicaid Managed Care residential reintegration billing requirements, unless otherwise clinically indicated. In addition to clinical responsibilities, Primary Counselors are expected to regularly assist with residential counselor duties as part of the treatment team, including resident supervision, medication observation, toxicology screening, shift coverage, and support of program structure, as assigned and in accordance with training, program needs, and policy.