Section 144-272-VII-K - Psycho-social CounselingFor medically eligible children and their families who experience problems in their psycho-social functioning due to the child's medically eligible condition and who refer themselves in writing or by phone, and if the family's request is followed by a recommendation for this service by the child's treating subspecialist, the C.C.S./C.S.H.N. Program will pre-authorize payment for:
1. initial psycho-social evaluation for up to two (2) one-hour sessions with a licensed counselor/psychologist. Families may choose their own Medicaid enrolled provider who must be from one of the following categories: a. licensed clinical psychologists;b. licensed psychiatrists;c. licensed masters social workers;d. licensed clinical social workers;e. licensed psychiatric nurses.2. counseling for up to eight (8) one-hour sessions after the initial evaluation and treatment plan has been received, reviewed and approved by C.C.S./C.S.H.N. Program staff and if the C.C.S./C.S.H.N. Program's physician consultant and licensed social worker confirm that the child's chronic illness or physically handicapping condition is a major factor in the child's or family's functioning; and/or3. additional counseling sessions for up to six (6) one-hours sessions] only upon written recommendation of the counselor and submission of report covering the first eight(8) sessions that indicates the progress in the child's or family's adjustment to the child's chronic illness or condition and includes a treatment plan for continuing the counseling. A final report must be submitted to the C.C.S./C.S.H.N. Program at the end of the last session.10- 144 C.M.R. ch. 272, § VII-K