New York Codes, Rules and Regulations › Title 8 - EDUCATION DEPARTMENT › Chapter II - Regulations of the Commissioner › Subchapter B - Regulation of Professions › Part 74 - Social Work › Section 74.5 - Authorization qualifying licensed clinical social workers for certain insurance reimbursement

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				  Upon satisfaction of the requirements set forth in subdivision (c) of this
				  section, and filing with the department an application and a fee of $100, a
				  licensed clinical social worker may qualify for insurance reimbursement
				  pursuant to Insurance Law section
				  3221(l)(4)(D) or
				  4303(n).
(b) Definition. As used in this section,
				  psychotherapy means the use of verbal methods in interpersonal relationships
				  with the intent of assisting a person or persons to modify attitudes and
				  behavior which are intellectually, socially or emotionally
				  maladaptive.
(c) In order to
				  fulfill the requirements of Insurance Law, section
				  3221(l)(4)(D) or
				  4303(n) and except as
				  provided in clause (2)(ii)(d) of this subdivision, the licensed clinical social
				  worker shall complete at least 2,400 client contact hours of experience in
				  psychotherapy over a period of not less than three years after licensure as a
				  licensed clinical social worker, with not less than 400 client contact hours in
				  any one year, in accordance with the following criteria:
(1) Acceptable setting. The experience shall
				  be completed in a setting acceptable to the Department, as described in
				  subdivision (a) of section
				  74.6 
				  of this Part, which may include a practice owned or operated by the
				  applicant.
(2) Supervision of
				  experience. The licensed clinical social worker shall submit for review and
				  approval by the State Board for Social Work, on forms prescribed by the
				  department, a plan for supervised experience that will meet the requirements of
				  this paragraph. The plan shall be submitted to the State Board for Social Work
				  before the licensed clinical social worker commences the supervised experience
				  requirement under this section.
(i) The plan
				  for supervision shall specify:
(a) individual
				  or group consultation of no less than two hours per month; or
(b) enrollment in a program authorized to
				  provide psychotherapy offered by an institution of higher education or by a
				  psychotherapy institute chartered by the Board of Regents.
(ii) The individual or group supervision must
				  be provided by:
(a) a licensed clinical
				  social worker who, at the time of supervision of the applicant, held the
				  psychotherapy privilege authorized by this paragraph or the equivalent as
				  determined by the department; or
(b) a psychologist who, at the time of
				  supervision of the applicant, was licensed as a psychologist in the state where
				  supervision occurred and was qualified in psychotherapy as determined by the
				  department based upon a review of the psychologist's education and training,
				  including but not limited to education and trained in psychotherapy obtained
				  through completion of a program in psychology registered pursuant to Part 52 of
				  this Title or a program in psychology accredited by the American Psychological
				  Association; or
(c) a physician
				  who, at the time of supervision of the applicant, was a diplomate in psychiatry
				  of the American Board of Psychiatry and Neurology, Inc. or had the equivalent
				  training and experience as determined by the department;
(d) an applicant who started the experience
				  to qualify for insurance reimbursement prior to January 1, 2011 may submit any
				  experience obtained prior to licensure as a licensed clinical social worker
				  provided that such experience, in the determination of the department,
				  satisfies the experience requirements for such reimbursement and is obtained
				  after the experience used to satisfy the experience requirements for licensure
				  as a licensed clinical social worker. Experience to qualify for insurance
				  reimbursement commenced on or after January 1, 2011 shall be obtained only
				  after licensure as a licensed clinical social worker.