Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 140 - MEDICAL PAYMENT
Subpart D - PAYMENT FOR NON-INSTITUTIONAL SERVICES
Section 140.423 - Licensed Clinical Psychologist Services
Universal Citation: 89 IL Admin Code ยง 140.423
Current through Register Vol. 48, No. 38, September 20, 2024
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.
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.
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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