MedicaidCoverageMedium impact
KMAP BULLETIN: LCMFT/LCPC as Allowable Providers in RHCs/FQHCs
Kansas Medicaid (KanCare)·KS · Psychiatry, Family Medicine, General Practice·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Licensed Clinical Marriage and Family Therapists (LCMFT) and Licensed Clinical Professional Counselors (LCPC) with provider type 11/116 are now eligible to provide services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) and receive the Prospective Payment System encounter rate. Services must be billed using the RHC/FQHC National Provider Identifier to receive the PPS rate.
Action Required
Immediately: Billing teams at RHCs and FQHCs should update their credentialing and billing systems to allow LCMFT and LCPC providers (PT/PS 11/116) to bill services using the facility NPI for PPS encounter rates. Update provider enrollment records and train staff on new billing procedures. Review the updated RHC-FQHC Fee-for-Service Manual page 8-3 for detailed guidance.