Traditional MedicareAdministrativeHigh impact
2024.02 - Provider Bulletin Mental Health Access Improvement Act PDF
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Beginning January 1, 2024, Licensed Professional Counselors (LPCs) and Licensed Marriage and Family Therapists (LMFTs) can now enroll as Medicare providers and bill Medicare Part B independently. For dual-eligible clients, Medicare becomes the primary payer and providers must submit crossover claims with Medicare payment information included.
Action Required
By April 1, 2024: LPCs and LMFTs must complete Medicare enrollment or claims will be denied. Immediately for dual-eligible clients: Submit crossover claims with Medicare as primary payer, including Medicare payment information on claims. Billing team must update system to handle secondary Medicaid billing for Medicare-enrolled LPC/LMFT providers. Providers who are retroactively enrolled in Medicare must recoup previous Medicaid claims and resubmit to Medicare for processing.