Medicare Enrollment by Provider Type

Individual enrollment, group practice, participating vs. non-participating, opt-out, and Medicare Advantage credentialing.

Independent billing, incident-to arrangements, supervision requirements, and prescriptive authority.

PA enrollment, collaborative agreements, incident-to billing, and state practice authority.

All behavioral health provider types: psychologists, LCSWs, LMHCs, MFTs, psychiatrists — coverage by credential, carve-out guide, telehealth rules.

E&M + psychotherapy combined billing, medication management, telehealth, and crisis psychotherapy codes.

Full independent billing, neuropsychological testing, health & behavior codes — no physician supervision required.

Independent Medicare billing for core mental health services. No physician supervision or referral required.

Newly covered under Medicare — enrollment requirements, covered service types, and independent billing authority.

Medical direction vs. supervision vs. CRNA-alone billing, anesthesia units, and state opt-out status.

BCBA & BCaBA enrollment under the 2026 Medicare Part B coverage expansion. CMS-20134, PECOS, group practice.

PT enrollment, 8-minute rule, KX threshold, functional limitations reporting, and outpatient rehab billing.

OT Medicare enrollment, outpatient rehabilitation billing, and KX threshold guidance.

SLP enrollment, dysphagia billing, KX threshold, and 2026 changes for speech-language providers.

Lab accreditation, polysomnography billing, CPAP supplier enrollment, and HSAT coverage rules.

Routine foot care exclusion, Class A/B/C systemic condition findings, and diabetic shoe supplier enrollment.

The Medicare chiropractic limitation, AT modifier requirements, active vs. maintenance care documentation.

Medical Nutrition Therapy for diabetes and kidney disease — coverage scope, referral requirements, and billing codes.

Ground and air ambulance enrollment, medical necessity, non-emergency transport, and 2026 EMS changes.

DMEPOS accreditation, surety bond, competitive bid program, and CMS supplier standards.

Critical Access Hospitals, Rural Health Clinics, and FQHCs — designation pathways, cost-based reimbursement, PPS billing.