Primary Care Center,
Federally-Qualified Health Center, and Federally-Qualified Health Center
Look-Alike Covered Behavioral Health Services.
(3) In addition to the services referenced in
subsection (2) of this section, the following behavioral health services
provided by a primary care center, federally-qualified health center, or
federally-qualified health center look-alike shall be covered under this
administrative regulation in accordance with the corresponding following
requirements:
(a) A screening provided by:
1. A licensed psychologist;
2. A licensed professional clinical
counselor;
3. A licensed clinical
social worker;
4. A licensed
marriage and family therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(b) An
assessment provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(c) Psychological testing provided
by:
1. A licensed psychologist;
2. A licensed psychological practitioner;
or
3. A licensed psychological
associate working under the supervision of a licensed psychologist;
(d) Crisis intervention provided
by:
1. A licensed psychologist;
2. A licensed professional clinical
counselor;
3. A licensed clinical
social worker;
4. A licensed
marriage and family therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(e)
Service planning provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(f) Individual outpatient therapy
provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(g) Family outpatient therapy
provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(h) Group
outpatient therapy provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(i) Collateral outpatient therapy
provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(j) A screening, brief
intervention, and referral to treatment for a substance use disorder provided
by:
1. A licensed psychologist;
2. A licensed professional clinical
counselor;
3. A licensed clinical
social worker;
4. A licensed
marriage and family therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(k) Day
treatment provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(l)
Comprehensive community support services provided by:
1. A licensed psychologist;
2. A licensed professional clinical
counselor;
3. A licensed clinical
social worker;
4. A licensed
marriage and family therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst;
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst; or
18. A community support associate;
(m) Intensive outpatient program
provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate; or
(n) Therapeutic rehabilitation program
services provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist.