|
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; |
| 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 shall be 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; 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. With respect to services provided by |
physicians or psychologists, this section applies to all health |
insurance policies, contracts or certificates issued, renewed, |
modified, altered, amended or reissued on or after April 16, |
1976. Payment or reimbursement for services rendered by |
clinical social workers licensed in this State shall, licensed |
| clinical professional 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. |