Section 140.424  Licensed Clinical Social Worker Services

a)         For purposes of enrollment in the Medical Assistance Program, a Licensed Clinical Social Worker (LCSW) means a person who is licensed and is legally authorized under State law or rule to practice as a Licensed Clinical Social Worker, pursuant to the Clinical Social Work and Social Work Practice Act [225 ILCS 20] and implementing rules (68 Ill. Adm. Code 1470). 

b)         Effective with dates of service January 1, 2017 and after, payment shall be made to LCSWs for the following services:

1)         Diagnostic evaluation; and

2)         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)         Payment shall not be made for services identified in Section 140.6.

(Source:  Added at 41 Ill. Reg. 7526, effective June 15, 2017)