January 1, 1985, must be licensed as a clinical social worker in |
this State; a licensed clinical professional counselor licensed for |
the independent practice of counseling who has at least a masters |
degree in counseling from an accredited educational institution, |
has been employed in counseling for at least 2 years and, after |
January 1, 2002, must be licensed as a clinical professional |
counselor in this State; a licensed pastoral counselor licensed as |
a pastoral counselor in this State; or a licensed nurse who is |
certified by the American Nurses' Association as a clinical |
specialist in adult psychiatric and mental health nursing or as a |
clinical specialist in child and adolescent psychiatric and mental |
health nursing, any person covered by the policy is entitled to |
reimbursement for these services if the services are performed by a |
physician; a psychologist licensed to practice in this State; a |
certified social worker licensed for independent practice in this |
State who has at least a masters degree in social work from an |
accredited educational institution, who has been employed in social |
work for at least 2 years, and who, after January 1, 1985, must be |
licensed as a clinical social worker in this State; a licensed |
clinical professional counselor licensed for the independent |
practice of counseling who has at least a masters degree in |
counseling from an accredited educational institution, has been |
employed in counseling for at least 2 years and, after January 1, |
2002, must be licensed as a clinical professional counselor in this |
State; a licensed pastoral counselor licensed as a pastoral |
counselor in this State; or a licensed nurse certified by the |
American Nurses' Association as a clinical specialist in adult or |
child and adolescent psychiatric and mental health nursing. |
Payment or reimbursement for services rendered by clinical social |
workers licensed in this State, licensed clinical professional |
counselors licensed in this State, licensed pastoral counselors |
licensed in this State or licensed nurses certified by the American |
Nurses' Association as clinical specialists in adult or child and |
adolescent psychiatric and mental health nursing may not be |
conditioned upon prior diagnosis or referral by a physician or |
other health care professional, except in cases where diagnosis of |
the condition for which the services are rendered is beyond the |
scope of their licensure. |