What does “top-of-license practice” actually mean in day-to-day operations?

Top-of-license practice means clinicians consistently spend their time on work that requires their training, licensure, and clinical judgment — not tasks that could be handled by peers, care coordinators, nurses, or administrative staff. In practice, this often requires redesigning workflows so routine tasks (scheduling, reminders, benefit verification, data entry) are delegated or eliminated, while clinical staff focus on assessment, treatment planning, and decision-making.