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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Resources on Medicare Enrollment and Payment Issues for Counselors

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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