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MODIFIER CODE 1MODIFIER CODE 2DESCRIPTIONCREDINTIALSAHClinical PsychologistCurrent license from the KY Board of Examiners of Psychology in accordance with KRS Chapter 319HPDoctoral LevelPer Practice GuidelinesHOLicensed Professional Clinical Counselor (LPCC)MASTERS LEVEL-Current license from the KY Board of License Professional Counselor (KRS Chapter 335)HOHLLicensed Professional Clinical Counselor Associate/Intern (LPCCA)Working on MASTERS LEVEL/Student of LPCC under the supervision of LPCC (KRS 335)U4Licensed Psychological Practitioner (LPP)MASTERS LEVEL/No supervision, Current license to practice by the KY Board of Examiners of Psychology (KRS Chapter 319)U4HPSchool Psychologist-DOCTORDOCTORAL LEVEL/Current license to practice by the KY Board of Examiners of Psychology (KRS Chapter 319)U4HOSchool PsychologistMASTERS LEVEL/Current license to practice by the KY Board of Examiners of Psychology (KRS Chapter 319)U5Certified Psychologist with Autonomous functioningMASTERS LEVEL/Current license to practice by the KY Board of Examiners of Psychology (KRS Chapter 319)U5HOCertified PsychologistMASTERS LEVEL/Current license to practice by the KY Board of Examiners of Psychology (KRS Chapter 319)U6HOLicensed Psychological AssociateMASTERS LEVEL Under supervision of PHD Psychologist in same building/Current license to practice by the KY Board of Examiners of Psychology (KRS Chapter 319)U8Board Certified Behavior AnalystMASTERS LEVEL/Current license from the Kentucky Applied Behavior Licensing Board (KRS Chapter 319C)U8U3Board Certified Assistant Behavior AnalystCurrent license from the Kentucky Applied Behavior Licensing Board as an assistant and under the supervision of BCBA (KRS Chapter 319C)AJLicensed Clinical Social Worker (LCSW)MASTERS LEVEL/Current license from the KY Board of Social Work (KAR 201 Chapter 23)U7Certified Social Worker (CSW)MASTERS/Current license as a social worker by the Kentucky Board of Social Work (KAR 201 Chapter 23) and under the supervision of a LCSWU9PsychometristRefer to the Board of Examiners of Psychology KRS 319.GNSpeech-Language PathologistSpeech Therapy services will only be performed by individuals meeting applicable requirements of 42 CFR 440.110, including the possession of a current Certificate of Clinical Competence from the American Speech Hearing Association (ASHA).GOOccupational TherapistCurrent license from KY Occupational Therapy Board (KAR 201 Chapter 28)GOU3Occupational Therapy AssistantCurrent license from the KY Occupational Therapy Board and under the supervision of a licensed Occupational Therapist (KAR 201 Chapter 28)GOUAOccupational Therapist AideUnder the direct supervision of the KY licensed Occupational Therapist (KRS 319A. 010 (5))GPPhysical TherapistCurrent license from the KY Board of Physical Therapy or a temporary permit issued by the KY Board of Physical Therapy (KAR 201 Chapter 22)GPU3Physical Therapist AssistantCurrent license from the KY Board of Physical Therapy and under supervision of a licensed Physical Therapist (KAR 201 Chapter 22)GPUAPhysical Therapist AideUnder the direct on-site supervision of the KY licensed Physical Therapist or Physical Therapy Assistant (201 KAR 22:053, Section 5.)GPHLPhysical Therapy Student (Intern)Student of Physical Therapy under the supervision of a KY licensed Physical Therapist (KAR 201 Chapter 22)HLInternPer Practice GuidelinesSAAdvanced Registered Nurse Practitioner (ARNP)Current license from the Kentucky (KY) Board of Nursing (201 KAR 20:057)TDRegistered NurseCurrent license from the KY Board of Nursing ( 201 KAR 20:057)TELicensed Practical NurseCurrent license from the KY Board of Nursing under appropriate supervision and delegation (201 KAR 20)U1Health AideUnder the supervision of and with training by a KY licensed ARNP or RN and being monitored by the supervising nurse in provision of the delegated and supervised nursing services (201 KAR 20:400)U2AudiologistCurrent license from KY Board of Speech Language Pathology and Audiology (201 KAR 17:012)UBInterpreterEffective July 1, 2003, interpreters must be licensed by the KY Board of Interpreters for the Hearing Impaired as required by KRS 309.300 to 309.319UCOrientation and MobilityCurrent certification by the Academy for Certification of Vision Rehabilitation and Education Professionals (ACVREP) or the National Blindness Professional Certification Board (NBPCB)UDRespiratory TherapistCertification by the KY Board of Respiratory Care as required by KRS 314A ................
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