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February 29, 2024

Provider Enrollment for Marriage and Family Therapists & Mental Health Counselors!

Section 4121 of Division FF of the Consolidated Appropriations Act, 2023 (CAA, 2023), established a new Medicare benefit category for MFT and MHC services furnished by and directly billed by MFTs and MHCs. Payment for MFT and MHC services, under Part B of the Medicare program, became effective for services rendered on and after January 1, 2024.

Like certain other practitioners, MFTs and MHCs may:

  • Opt-out of Medicare (see note)
  • Form groups
  • Reassign their benefits
  • Receive reassigned benefits
  • Order or certify services to the extent otherwise permitted by law

To submit claims to Medicare for reimbursement, MFTs and MHCs must meet the required criteria to enroll in the Medicare program. Click hereExternal Website for more information!

Note: To Opt-out of Medicare, the provider is not required to enroll in the Medicare program. However, MFTs and MHCs are required to submit an affidavitPDF to CGS. They are also required to have a contract with the Medicare beneficiary regarding the financial responsibility. Click here for complete guidance information.



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