|
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 the independent practice of social work 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 |
| 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 |
| 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. |
