Medicare

About the Medicare Mental Health Workforce Coalition

Members

American Association for Marriage and Family Therapy, American Counseling Association, American Mental Health Counselors Association, Association for Behavioral Health and Wellness, California Association of Marriage and Family Therapists, Centerstone, Center for Medicare Advocacy, Michael J. Fox Foundation for Parkinson’s Research, National Association for Rural Mental Health, National Association of Community Health Centers, National Association of County Behavioral Health and Developmental Disability Directors, National Board for Certified Counselors, National Council for Mental Wellbeing, National Council on Aging, Network of Jewish Human Service Agencies, and The Jewish Federations of North America


Medicare Opt-in/Opt-out Infosheet

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Medicare Roadmap Webinar Series for Counselors

Medicare 101: An Introduction to the Medicare Program and Coverage of. Counselors and MFT's

Video https://youtu.be/VoeQp6m_IC8

Medicare 101 PowerPoint Slideshttps://nbcc.org/assets/Medicare_101_Webinar_Presentation.pdf?_zs=4ualD1&_zl=83a77



Medicare 201: The Implementation of Medicare Part B Coverage of Counselors and MFTs

Videohttps://www.youtube.com/watch?v=3RSjz4RH7a0

Medicare 201 PowerPoint Slideshttps://nbcc.org/assets/governmentaffairs/medicare_201_webinar.pdf



Medicare 301: Navigating the Medicare Provider Enrollment Process and Fee Schedule: A Primer for Counselors and MFTs

Video - https://youtu.be/V1z4D6rCz1w

Medicare 301 PowerPoint Slides - https://nbcc.org/assets/Medicare_301_Webinar_Presentation.pdf



Medicare 401: Assessing the Essential Features of the 2024 Medicare Physician Fee Schedule Rule and Implications for Counselors and MFTs

Videohttps://youtu.be/P4fpcZ8XGr8

Medicare 401 PowerPoint Slides: 


Medicare 501: New Engagement Opportunities for Community Behavioral Health Centers with Counselors and MFTs Under Medicare

Video https://youtu.be/hJIR-823kIY

Medicare 501 Powerpoint Slides - https://nbcc.org/assets/governmentaffairs/medicare-501-webinar.pdf?_zs=FD7AR1&_zl=LhqF7

Medicare 601: The Medicare Enrollment Process for Counselors and MFTs

Videohttps://www.youtube.com/watch?v=ncz3Wu58g7E

Medicare 601 Powerpoint - https://nbcc.org/assets/governmentaffairs/medicare/webinars/601.pdf



The Role of Medicare Administrative Contractors: Enrollment to Payment

Video - https://youtu.be/4_3gOeW7u9c

Powerpoint - https://www.nbcc.org/assets/governmentaffairs/Feb1_MAC_Webinar.pdf

Older Adult Mental Health 101

Video - https://www.youtube.com/watch?v=5t2qArrKHas

Powerpoint - https://nbcc.org/assets/governmentaffairs/032024-Older_Adult_Mental_Health101.pdf

 

The Process of Working With Older Adults in Psychotherapy

Video - https://www.youtube.com/watch?v=wcEMOQZ5sNQ

Powerpoint - https://nbcc.org/assets/governmentaffairs/032124-The_Process_of_Working_With_Older_Adults_in_Psychotherapy.pdf

New Medicare Advantage Plan Engagement Opportunities for Counselors and MFTs

Video - https://youtu.be/ejcnCUWzLuQ

Powerpoint - https://nbcc.org/assets/governmentaffairs/041824-Medicare_Advantage_Plan_Webinar.pdf

 

*NEW - 

Normal Cognitive Aging and Dementia: What Counselors and MFTs Need to Know

Video - https://youtu.be/itJgsITy3KI

Powerpoint - https://nbcc.org/assets/governmentaffairs/062024-Normal_Cognitive_Aging.pdf



*NEW

Making Informed Decisions Before Submitting Claims to Medicare

July 25 from noon to 1:30 pm EDT

Now that mental health counselors and marriage and family therapists (MFTs) are Medicare-recognized providers and can file claims for reimbursement, it is critically important to understand Medicare compliance guidelines and adhere to the rules, regulations, and policies set forth by the Centers for Medicare & Medicaid Services (CMS). Proper compliance involves specific requirements related to coding, billing, documentation, patient privacy, fraud prevention, and ongoing education.  

To support counselors and MFTs as they navigate the new Medicare landscape, this webinar will provide an overview of what Medicare compliance entails and cover crucial topics such as best practices for information validation before billing.  

After this webinar, attendees will be able to: 

  • identify resources for screening Medicare clients for eligibility.  

  • differentiate accurate procedure and diagnosis codes for services.  

  • verify coding and unit reporting accuracy. 

  • describe the use of modifiers to report unique service situations.  

  • apply tips and reminders for submitting claims. 

Register for this free webinar at: https://bit.ly/July25_ClaimsWebinar 


Resources on Medicare Enrollment and Payment Issues for Counselors

NEW* The CY 2025 Physician Fee Schedule proposed rule has been published. 

Press Release:https://www.cms.gov/newsroom/press-releases/hhs-proposes-physician-payment-rule-drive-whole-person-care-and-improve-health-quality-all

Fact Sheet (Overall PFS): https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2025-medicare-physician-fee-schedule-proposed-rule

Fact Sheet (MSSP):https://www.cms.gov/newsroom/fact-sheets/fact-sheet-calendar-year-cy-2025-medicare-physician-fee-schedule-proposed-rule-cms-1807-p-medicare



CMS has created a new webpage to help guide counselors through the enrollment process, coding, and billing issues.

https://www.cms.gov/medicare/payment/fee-schedules/physician-fee-schedule/marriage-and-family-therapists-mental-health-counselors



Noridian's (Medicare Administrative Contractor) mental health specialty page includes information on billing, coding, and recordkeeping (psychotherapy documentation) requirements.

https://med.noridianmedicare.com/web/jeb/specialties/mental-health



New Guidance to State Medicaid Agencies on Dually Eligible Beneficiaries Receiving Medicare Part B Marriage and Family Therapist Services, Mental Health Counselor Services, and Intensive Outpatient Services Effective January 1, 2024

https://www.medicaid.gov/sites/default/files/2023-12/cib12142023.pdf



This first slide below is a cheat sheet that providers can use to look up their payment rates using CMS's provider payment look up tool (“Look-Up Toll link also provided just below).

https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/how_to_mpfs_booklet_icn901344.pdf

The second slide is from Zabeen Chong's April 2023 CMS Medicare Provider Enrollment conference presentation where she discusses who providers should contact if they have questions on enrollment. 


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