tab-stops:list .25in“>I.SPECIFIC RESPONSIBILITIES
NP-LBPHP’s are licensed clinicians
able to practice independently for which reimbursement is authorized under
Other Licensed Practitioner within the Medicaid State Plan. This OLP “billing
authority” allows services provided by NP-LBHP’s to be reimbursable when
delivered in nontraditional settings, including the home and/or community, or
other site-based settings when appropriate, as permissible under State practice
law. Services must be within the practitioner’s scope of practice, as defined
in NY State law. The delivery of services by NP-LBHP’s in these natural
settings expands the range of treatment options for families/caregivers by
allowing greater flexibility and choice based on the needs of the child or
youth. It is also expected to more effectively engage those children, youth and
families/caregivers who may have difficulty engaging in traditional clinic
based settings. environmental stressors which interfere with the child/youth’s
daily living, financial management, housing, academic and/or employment
progress, personal recovery or resilience, family and/or interpersonal
relationships and community integration.
An OLP may perform the following services:
- Licensed Evaluation(Assessment) - process of identifying a child/youth individual’sbehavioral strengths and weaknesses, problems and service needs, throughthe observation and a comprehensive evaluation of the child/youth currentmental, physical and behavioral condition and history.
- Identification ofservices and practices medically necessary to meet the child/youth’sbehavioral health needs, which may include other SPA services.
- All NP-LBHP have thecapacity to conduct a comprehensive assessment within the scope of theirpractice. NP-LBHP who have the ability to diagnose within his or herscope of practice under state law includes a Licensed Clinical SocialWorker (LCSW). All other listed NP-LBHPs are required to work under thesupervision of a licensed clinical social workers (LCSWs), licensedpsychologists, or psychiatrists for the purposes of conducting adiagnostic evaluation.
- Treatment Planning -process of describing the child/youth’s condition and services needed forthe current episode of care, detailing the scope/practices to be provided,expected outcome, and expected frequency and duration of the treatment foreach provider.
- Psychotherapy (Counseling)- therapeutic communication and interaction for the purpose of alleviatingsymptoms or functional limitations associated with a child/youth’sdiagnosed behavioral health disorder, reversing or changing maladaptivepatterns of behavior, encouraging personal growth and development, andsupporting the child/youth’s capacity to achieve age–appropriatedevelopmental milestones.
- Crisis InterventionActivities: If the child-youth experiences psychiatric, behavioral orsituational distress in which the NP-LBHP is contacted as the treatmentprovider, the OLP may perform any of the following:
- Crisis Triage (Bytelephone).
- Crisis Off-Site(In-person)
- Crisis Complex Care(Follow up)
- Services can be performedin individual, family and group modalities.
- Services are delivered ina trauma informed, culturally and linguistically competent manner.
- Coordinate with otherproviders involved in the individual’s treatment.
- Timely and accuratedocumentation of contacts.
- Attend requiredsupervision, meetings and trainings.
- Report incidences andissues to supervisor immediately.
- Knowledge and adherence toagency and regulatory bodies’ standards of practice.
- Ensure delivery ofservices as outlined by service plan.
- Continuous monitoring thatfamily choice and voice is present in service delivery.
- NP-LBHPs include the following practitioners;each is permitted to practice independently within his or her scope ofpractice under Title VIII of the Education Law and in any settingpermissible under State law: • (1) licensed psychoanalysts; • (2) licensedclinical social workers (LCSWs); • (3) licensed marriage and familytherapists (LMFT); and • (4) licensed mental health counselors (LMHC). mso-bidi-font-family:Arial“>
- NP-LBHPs also include licensed master socialworkers (LMSWs) under the supervision of licensed clinical social workers(LCSWs), licensed psychologists, or psychiatrists. mso-bidi-font-family:Arial“>
- Evidenced-based practices (EBPs) requireapproval, designations and fidelity reviews on an ongoing basis asdetermined necessary by New York State. 12.0pt;mso-fareast-font-family:Calibri;mso-bidi-font-family:Arial“>
- NOTE: In addition to licensure, service providersthat offer addiction services must demonstrate competency as defined bythe Department of Health, state law and regulations (14 NYCRR 853.2). mso-bidi-font-family:Arial“>
- NOTE: Psychiatrists, Licensed PhysicianAssistants, Licensed Physicians, Psychologists, and Licensed NursePractitioners are authorized to provide services which are Medicaidreimbursable under a different authority within the State Plan. mso-bidi-font-family:Arial“>
- mso-bidi-font-family:Arial“>Must have a valid Driver’s License and adriving record that is satisfactory to our insurance carrier.
- mso-bidi-font-family:Arial“>Must be cleared by the NYS Justice Center throughfingerprinting for a Criminal History Records search.
- mso-bidi-font-family:Arial“>Must be cleared by the NYS Office of Childrenand Family Services for instances of child abuse and/or neglect.