Mental Health Providers and Medicare Participation

Thursday, December 28, 2023

As of Jan. 1, 2024, Medicare will cover mental health care services provided by marriage and family therapists (MFT), mental health counselors (MHC) and licensed professional counselors (LPC). 

What does this mean for TRICARE network providers? 
Per Health Net Federal Services’ (HNFS) TRICARE Provider Participation Agreement, network providers eligible to participate in Medicare must have a signed Medicare CMS-460 Agreement or agree to participate with Medicare on a claim-by-claim basis for dual-eligible beneficiaries (those eligible for TRICARE and Medicare). 

HNFS will look for Medicare enrollment or per-claim agreement for MFTs, MHCs and LPCs as part of its credentialing process moving forward.