I wanted to ask for clarification on caseloads. A team can consist of multiple non-licensed staff. For example, an LMHP-E and a QMHP could be on a team. However, would that client then count towards caseload limits for both of these staff, or would the client be assigned a “primary” clinician? If the client counts towards both caseloads, then a team of QMHP and LMHP-E would be severely limited on the number of clients that could be seen. Specifically, Tier 2 clients would max out at 8, severely limiting the number of billable hours and reimbursement a staff could have.

Please offer some clarification on whether a client is on the caseload of everyone on a team or if each client is assigned to 1 caseload.