NOTE:  Data in the “Annual and Cumulative” chart were updated 8 November 2024, based on the Opt Out Affidavits dataset through September 2024. Other chart data were not updated. 2024 will be (already has been) a record year for the number of psychologists opting out. As of the August 2024 Update to CMS’s Opt Out …

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As of January 1, 2024, Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) became eligible to bill Medicare independently for their services to diagnose and treat mental illnesses. Expansion to new mental health clinicians in Medicare – with reimbursement at 75% of the physician fee schedule – was thought to be a cost-effective …

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