Guidance to State Medicaid Agencies on Dually Eligible Beneficiaries Receiving Medicare Part B Marriage and Family Therapist Services, Mental Health Counselor Services, and Intensive Outpatient Services

On December 14, the Center for Medicaid and CHIP Services (CMCS) issued an Informational Bulletin to advise state Medicaid agencies that starting January 1, 2024, Medicare will begin covering and making payments for marriage and family therapists (MFT) and mental health counselors (MHC), and intensive outpatient program (IOP) services provided to dually eligible beneficiaries, or individuals enrolled in Medicare and Medicaid. These provisions were implemented as part of the Calendar Year (CY) 2024 Physician Fee Schedule final rule (Centers for Medicare & Medicaid Services (CMS)-1784-F, “Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2024”)...