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Marriage and Family Therapist Medicare Enrollment

Marriage and Family Therapists (MFTs / LMFTs) became eligible for Medicare provider status through the Consolidated Appropriations Act, joining LMHCs as newly covered mental health provider types. MFTs can now enroll in Medicare Part B and bill independently for mental health services.

Enrollment requirements

  • Master’s or doctoral degree in marriage and family therapy from a COAMFTE-accredited (or equivalent) program
  • Two years of post-degree supervised clinical experience
  • State licensure as an MFT at the independent practice level
  • Authorization under state law to diagnose and treat mental health conditions
  • Type 1 NPI (individual)
  • Enrollment via CMS-855I or PECOS

Covered services

Medicare covers the same core mental health services for MFTs as for other covered mental health practitioners:

  • Individual psychotherapy (90832, 90834, 90837)
  • Family psychotherapy (90846, 90847)
  • Group psychotherapy (90853)
  • Crisis psychotherapy (90839, 90840)
  • Psychiatric diagnostic evaluation (90791)

Key applications

  • CMS-855I — individual enrollment
  • CMS-855R — reassignment to group

Ask Mae if you have questions about MFT Medicare enrollment in your state or covered service types.