Mental Health Services / Qualification requirements for mental health providers

Why This Topic Matters

Correct provider qualification affects whether mental health services are covered and billed appropriately under Medicare. Understanding the governing regulations and manual references helps support compliance and accurate claims processing.

Article Sections

1. General qualification requirements

   Overview of the basic Medicare and state-law framework for mental health service providers. Introduces the general requirement that providers be appropriately authorized to furnish billed services.

2. Qualified physician

   Describes the provider category and the general practice authorization expectations discussed for physicians.

3. Clinical psychologist

   Covers the qualification standards and Medicare reference materials associated with clinical psychologists.

4. Clinical social worker

   Summarizes the qualification standards and Medicare reference materials associated with clinical social workers, including alternate state-licensure situations.

5. Nurse practitioner

   Addresses the qualification standards and Medicare reference materials associated with nurse practitioners furnishing mental health services.

6. Clinical nurse specialist

   Summarizes the qualification standards and Medicare reference materials associated with clinical nurse specialists.

7. Physician assistant

   Covers the qualification standards and Medicare reference materials associated with physician assistants.