Medicare Releases Medicare Physician Fee Schedule RuleCounselors Can Enroll Now in the Medicare Program
On November 2, the Centers for Medicare and Medicaid Services (CMS) issued the 2024 Final Medicare Physician Fee Schedule Rule (CY 2024 PFS Final Rule) that describes the processes and procedures in regard to the implementation of Medicare Part B Coverage for Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs).
Final Rule: https://public-inspection.federalregister.gov/2023-24184.pdf
The Final Rule allows marriage and family therapists and mental health counselors to enroll for the first time in Medicare and bill for their services starting January 1, 2024.
Individuals who meet the MFT or MHC eligibility requirements embodied in the Final Rule will be able to enroll in Medicare via the Form CMS-855I application (Medicare Enrollment Application – Physicians and Non-Physician Practitioners; OMB No. 0938-1355) and can begin submitting their enrollment applications today.
Form 855I Application: https://www.cms.gov/medicare/cms-forms/cms-forms/downloads/cms855i.pdf
However, as the new benefit categories do not take effect until January 1, 2024, MFT or MHC claims for services furnished to Medicare beneficiaries with dates of service prior to January 1, 2024, will not be payable.
MFTs and MHCs can visit: https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/chain-ownership-system-pecos for basic information on the provider enrollment process.
More information and resources can be found at https://www.amhca.org/advocacy/medicare
**This information was provided by AMHCA. Thank you for the information provided to counselors!