Other Licensed Practitioner (OLP)
 NY (New York)


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’s
    behavioral strengths and weaknesses, problems and service needs, through
    the observation and a comprehensive evaluation of the child/youth current
    mental, physical and behavioral condition and history.
    • Identification of
      services and practices medically necessary to meet the child/youth’s
      behavioral health needs, which may include other SPA services.
    • All NP-LBHP have the
      capacity to conduct a comprehensive assessment within the scope of their
      practice. NP-LBHP who have the ability to diagnose within his or her
      scope of practice under state law includes a Licensed Clinical Social
      Worker (LCSW). All other listed NP-LBHPs are required to work under the
      supervision of a licensed clinical social workers (LCSWs), licensed
      psychologists, or psychiatrists for the purposes of conducting a
      diagnostic evaluation.
  • Treatment Planning -
    process of describing the child/youth’s condition and services needed for
    the current episode of care, detailing the scope/practices to be provided,
    expected outcome, and expected frequency and duration of the treatment for
    each provider.
  • Psychotherapy (Counseling)
    - therapeutic communication and interaction for the purpose of alleviating
    symptoms or functional limitations associated with a child/youth’s
    diagnosed behavioral health disorder, reversing or changing maladaptive
    patterns of behavior, encouraging personal growth and development, and
    supporting the child/youth’s capacity to achieve age–appropriate
    developmental milestones.
  • Crisis Intervention
    Activities: If the child-youth experiences psychiatric, behavioral or
    situational distress in which the NP-LBHP is contacted as the treatment
    provider, the OLP may perform any of the following:
    • Crisis Triage (By
    • Crisis Off-Site
    • Crisis Complex Care
      (Follow up)
  • Services can be performed
    in individual, family and group modalities.
  • Services are delivered in
    a trauma informed, culturally and linguistically competent manner.
  • Coordinate with other
    providers involved in the individual’s treatment.
  • Timely and accurate
    documentation of contacts.
  • Attend required
    supervision, meetings and trainings.
  • Report incidences and
    issues to supervisor immediately.
  • Knowledge and adherence to
    agency and regulatory bodies’ standards of practice.
  • Ensure delivery of
    services as outlined by service plan.
  • Continuous monitoring that
    family 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 of
    practice under Title VIII of the Education Law and in any setting
    permissible under State law: • (1) licensed psychoanalysts; • (2) licensed
    clinical social workers (LCSWs); • (3) licensed marriage and family
    therapists (LMFT); and • (4) licensed mental health counselors (LMHC). mso-bidi-font-family:Arial“>
  • NP-LBHPs also include licensed master social
    workers (LMSWs) under the supervision of licensed clinical social workers
    (LCSWs), licensed psychologists, or psychiatrists. mso-bidi-font-family:Arial“>
  • Evidenced-based practices (EBPs) require
    approval, designations and fidelity reviews on an ongoing basis as
    determined necessary by New York State. 12.0pt;mso-fareast-font-family:Calibri;mso-bidi-font-family:Arial“>
  • NOTE: In addition to licensure, service providers
    that offer addiction services must demonstrate competency as defined by
    the Department of Health, state law and regulations (14 NYCRR 853.2). mso-bidi-font-family:Arial“>
  • NOTE: Psychiatrists, Licensed Physician
    Assistants, Licensed Physicians, Psychologists, and Licensed Nurse
    Practitioners are authorized to provide services which are Medicaid
    reimbursable 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 a
    driving record that is satisfactory to our insurance carrier.
  • mso-bidi-font-family:Arial“>Must be cleared by the NYS Justice Center through
    fingerprinting for a Criminal History Records search.
  • mso-bidi-font-family:Arial“>Must be cleared by the NYS Office of Children
    and Family Services for instances of child abuse and/or neglect.