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. |