Payment for Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) in a Method II Critical Access Hospital (CAH)
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Marriage and Family Therapist & Mental Health Counselor Services: Overpayments to Critical Access Hospitals Billing under Method II
CMS is working to implement payment edits for marriage and family therapist (MFT) and mental health counselor (MHC) services that are furnished in critical access hospitals (CAHs) and billed under CAH method II. These payment edits will establish the statutorily mandated payment rates applicable to MFT and MHC furnished services. We plan to complete the payment edits during the second quarter of 2024. In the interim, we’ll pay CAH Method II claims for MFT and MHC services for dates of service starting January 1, 2024, at the Medicare Physician Fee Schedule rate.
We’ll correct this overpayment by July 1, 2024, and your Medicare Administrative Contractor will automatically reprocess your claims. You don’t need to take any action.