Medicare Legislation

Signed into law by Pres 12/29/29
This was part of the Omnibu federal Spending Legislation
LCPCs and LMFTs included to directy bill for Medecare eligible clients
It is expected to take 12-24 months for the rules and
to be developed before credentialing and billing will

You can find the reimbursement rates here:

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To give you an idea, here is the dollar amount at present
for an LCSW in IL:

90791 - $155.76

90837 - $101.92

Medicare billing for LCPCs Incident to

Rule change "Incident To" For many years Medicare Rules Allowed Payment to LCPCs if they Are Employed by a Psychiatrist Under Incident To if the MD is on the premises. A recent rule change occurred under CMS. Proposed Rule for Calendar Year (CY) 2023 (CMS-1770-P) and specifically on the Centers for Medicare & Medicaid Services’ (CMS) proposal to increase flexibilities for Medicare-eligible mental health practitioners to use services provided by LCPCs. ACA supported the rule change to allow Incident To billing when the Staff MD is not on premises.

ACA made numerous recommendations to CMS in support of the profession. These recommendations contributed to the CMS decision to propose allowable general supervision  under the physician fee schedule. The rule is now final and went into effect in January 2023. This rule will improve Medicare eligible client wait time and increase access to care in certain settings. This was the only action CMS is allowed to take without bill passage.

No Surprises Act

No Surprises Act

Beginning January 1, 2022, psychologists and other health care providers will be required by law to give uninsured and self-pay patients a good faith estimate of costs for services that they offer, when scheduling care or when the patient requests an estimate.

Enacted Dec 2020 (starts page 1577)

Audio Only TelehealthHHS Offers Guidance of Audio-Only Telehealth
The guidance on how HIPAA rules permit health plans and covered healthcare providers to use remote communication technologies for audio-only telehealth can be found at:
Clarification on allowable uses of landlines, cell phones and apps
 Mental Health Parity RulesHealth insurance issuers and employment-based group health plans face new federal requirements to demonstrate their mental health parity compliance.Info
 ParityPaul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008EQUITY ACT
National Suicide Hotline Designation ActNational Suicide Hotline Designation Act allows states to collect fees, such as those collected for the national 911 emergency hotline,S2661
10/17/2020 Became Public Law No: 116-172.
VA Mental Health Counselor Bill


This historic legislation directs the U.S. Office of Personnel Management to create the first ever federal government classification for mental health counselors, referred to as an Occupational Series. The Series will allow counselors to work in federal government agencies under the title of mental health counselor instead of generic Series that apply to many professions. Social workers and psychologists have had their own Occupational Series for decades and it is past time counselors have the same level of recognition. Creation of an Occupational Series for mental health counselors has been a top federal priority for national counseling organizations for many years and is a hard won success.

S. 785, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019,

10/17/2020 Became Public Law No: 116-171. (TXT | PDF)  (All Actions)
TricareTricare Providers
Tricare Fact Sheet
Tricare Certified Mental Health Counselor Requirements

The $6.3 billion 21st Century Cures Act, which the Senate passed by a vote of 94 to 5 December 7, includes the most significant mental healthcare legislation in 20 years. The House passed the bill last week 392-26. It is headed to President Obama who has said he will sign it into law on December 13th, 2016.

The mental health provisions of the Cures bill fund suicide-prevention programs, mental health services for children, and programs for court-ordered outpatient treatment. It reinforces current laws that require insurers to treat mental illness as they do any other illness in terms of benefits. And it creates a new position in the US Department of Health and Human Services called the Assistant Secretary for Mental Health and Substance Use for coordinating mental health programs across the federal government.

Mental health provisions

Among other provisions, the mental health portion of the bill includes:

  • Creates a new position of Assistant Secretary for Mental Health and Substance Abuse;
  • Establishes new grant programs for early intervention;
  • Directs states to only fund evidence-based mental health initiatives with a proven track record;
  • Removes barriers to individuals accessing mental-health care and services;
  • Promotes jail diversion initiatives and other programs to keep the mentally ill from being incarcerated;
  • Expands access to mental healthcare providers and beds for patients;
  • Requires health insurance companies to cover more mental health treatments;
  • Requires substantial new data collection around mental illness and the criminal justice system.

Visit this page for more information