MFTs in Medicare

Provisions included in the Consolidated Appropriations Act 2023 signed into law in December 2022 added MFTs and MHCs as Medicare-eligible providers. This currently has an effective date of January 2024 and is the first addition of licensed behavioral health providers to Medicare since 1989!

MFTS are eligible in traditional, Medicare advantage, RHCs and FQHC settings. 

What's next? AAMFT will continue working with Center for Medicare and Medicaid Services regarding:

  • Provider enrollment

  • Provider rules/fee schedules

  • Educating stakeholders about changes

AAMFT has additional information and resources here.

CMS frequently asked questions here.

What you need to know about enrollment

Enrollment in Medicare looks different than enrollment for other insurance panels. There are two major points related to enrollment to remember:

  • If you are interested in being a Medicare provider, you should complete the enrollment form here.
  • If you are NOT interested in being a Medicare provider, you will need to OPT OUT of enrollment. This will opt you out of ALL locations you practice for 2 years. Additionally, this will need to be renewed every 2 years. 
    • To opt out you must mail a written letter to the Medicare Administrative Contractor (MAC). Resources for this process can be found here.

More resources available below for CTAMFT members once logged in.