Section 140.423 Licensed Clinical Psychologist Services

Section 140.423  Licensed

Clinical Psychologist Services

a)         For purposes of enrollment in the Medical

Assistance Program, a Licensed Clinical Psychologist (LCP) means a person who

is licensed and is legally authorized under State law or rule to practice as a Licensed

Clinical Psychologist, pursuant to the Clinical Psychologist Licensing Act [225

ILCS 15] and implementing rules (68 Ill. Adm. Code 1400).

b)         Effective with dates of service January 1,

2017 and after, payment shall be made to LCPs for the following services:

1)         Psychological

and neuropsychological testing;

2)         Diagnostic

evaluation;

3)         Therapeutic

services provided in the office, home or community setting:

A)        Individual psychotherapy; or

B)        Family or group psychotherapy

for which the purpose is the treatment of the patient. Group psychotherapy

services must meet the guidelines set forth in Section 140.462(c)(2) and

(d)(2).

c)         LCPs may prescribe medications in

accordance with the following:

1)         Hold a current prescribing psychologist

license as defined in Section 4.2 of the Clinical Psychologist Licensing Act;

2)         Have and maintain a current written

collaborative agreement with a collaborating physician as set forth in Section

4.3 of the Clinical Psychologist Licensing Act. Agreements must be updated,

maintained on file at each practice location, and be available upon the

Department's request.

3)         The collaborating physician is not required

to be enrolled with the Department. However, the collaborating physician may

not be terminated, suspended or barred by the Department from participating in

the Medical Assistance Program.

4)         The LCP must notify the Department within

10 business days if an agreement is dissolved or if a change occurs in the

collaborating physician under the agreement.

5)         All prescriptions must meet the

requirements set forth in Section 140.414

ollaborating physician may

not be terminated, suspended or barred by the Department from participating in

the Medical Assistance Program.

4)         The LCP must notify the Department within

10 business days if an agreement is dissolved or if a change occurs in the

collaborating physician under the agreement.

5)         All prescriptions must meet the

requirements set forth in Section 140.414.

d)         Payment shall not be made for

the following services:

1)         Services

identified in Section 140.6;

2)         Self-administered

or self-scored tests of cognitive function; and

3)         Biofeedback

therapy.