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Medicare Coverage Exclusion Effective January 1, 2023

Audience: LCATs, LMSWs, LMFTs and LMHCs

Excellus BlueCross BlueShield will align with Medicare policy and no longer provide reimbursement for the Medicare line of business for licensed creative art therapists (LCAT), licensed master social workers (LMSW), licensed marriage and family therapists (LMFT), and licensed mental health counselors (LMHC) effective January 1, 2023.

Providers in these specialties who are affiliated with a group practice and have a supervising provider within the group practice may be eligible to use “incident to” billing procedures. Please contact your Behavioral Health Provider Relations representative for further information about this option or with any other questions you may have regarding this notice.

Please share this information with your billing office.

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