Social Worker and Psychological Evaluation and Therapy Services shall be provided by or under the supervision and direction of a psychiatrist, psychologist, a mental health nurse practitioner, or by a social worker qualified and licensed to deliver the service, and who may provide care coordination and integration for services relative to the student for out-patient mental health services received in the educational setting to prevent disease, disability, other health conditions or their progression, to prolong life and promote physical and mental health and efficiency.

This includes any medical or remedial services recommended by a physician or other licensed health care practitioner, within the scope of practice under state law, for maximum reduction of physical or mental disability and restoration of a recipient to his or her best possible functional level, such as:

• Mental health assessment
• Psychological testing (non-educational cognitive and adaptive testing)
• Assessment of motor language, social, adaptive, and/or cognitive functioning by standardized developmental instruments
• Behavioral health counseling and therapy
• Psychotherapy (group/individual)

The above listed services may be provided if they are within the scope of practice of a Certified Social Worker Assistant (CSWA) or Licensed Clinical Social Worker (LCSW) who must possess a master’s degree from an accredited college or university accredited by the Council on Social Work Education and have completed the equivalent of two years of full-time experience in the field of clinical social work in accordance with rules of the Oregon State Board of Clinical Social Workers for a LCSW or whose plan of practice and supervision has been approved by the board, for a CSWA working toward LCSW licensure under the supervision of a LCSW for  two years of post masters clinical experience and is licensed by the State Board of Clinical Social Workers to practice in Oregon; or

Psychologists who must have one of the following: a doctoral degree in psychology obtained from an approved doctoral program in psychology accredited by the American Psychological Association (APA) or a doctoral program in psychology accredited individually or as part of an institutional accreditation by another private or governmental accrediting agency, when the association’s or agency’s standards and procedures have been approved by the State Board of Psychologist Examiners by rule; and have two years of supervised employment under the direction of a psychologist licensed in Oregon or under the direction of a person considered by the board to have equivalent supervisory competence; or

Psychiatrists who are licensed to practice medicine and surgery in the State of Oregon; and possess a valid license from the Oregon Licensing Board for the Healing Arts.

SBHS Medicaid-reimbursed services and treatments are provided in accordance with Oregon’s Prioritized List of Health Services to recipients receiving services pursuant to an IEP/IFSP eligible under IDEA in the educational setting. The above-listed therapy services and treatments are examples of services that may be provided to eligible recipients in an educational setting under Oregon’s Medicaid program. The current Prioritized List of services can be found on the Health Services Commission Web site.

Important!  The SBHS rules define Oregon’s fee-for-service program to reimburse publicly funded education agencies for health services provided under the IDEA to Oregon’s Medicaid-eligible children. The SBHS rules are also a user’s manual designed to assist the Education Agency (EA) in matching state and federal funds for Oregon’s Medicaid-eligible students with disabilities. The SBHS rules are to be used in conjunction with:

• The General Rules governing the Division of Medical Assistance Programs (DMAP) (OAR 410 Division 120);
• The Oregon Health Plan (OHP) rules (OAR) 410 Division 141); and
• The Oregon Administrative Rules (OARs) in Chapter 581, Division 15, for the Oregon Department of Education (ODE) outlining Oregon’s program to meet the federal provisions of the Individuals with Disabilities Education Act (IDEA).

Please go to the SBHS information page and review the above listed rules for additional information.