Practitioner Non-Physician services include two types of services:

1)       outpatient and enhanced behavioral health services for adults and children, and

2)       specialized therapies (physical, speech, occupational and respiratory therapy) for children provided by Independent Practitioners.

Outpatient and enhanced behavioral health services include services such as outpatient psychotherapy, substance abuse treatment, intensive in-home services, crisis services, community support, psychosocial rehabilitation, etc.  Some provider types must be endorsed by the Local Management Entities (mental health agencies), while some providers who provide outpatient behavioral health services can be independently enrolled.

Adults and children who have medical necessity for behavioral health services are eligible to receive these services, although most of them have to be prior approved by a Medicaid designated contractor.

Specialized therapies (PT/OT/ST/RT) provided by Independent Practitioners (IPP) may be delivered  in the IPP office, at the Medicaid recipient’s home, school, through the Head Start program, and at child care settings (i.e., regular and developmental day care) settings. The services must be prior approved after a certain number of limited visits.