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Some 40% of mental health providers—marriage and family therapists and mental health counselors—all of whom are all at least Master’s level trained and licensed, were excluded from Medicare ...
The resulting payment structure reimbursed health centers on the basis of their actual costs for providing care, not by a rate negotiated with the state Medicaid agency or set by Medicare. Medicaid's shift to a managed care delivery system in the 1990s required CHCs to again modify their financial structure.
In 2007, the Department of Health and Human Services recognized peer support services as an evidence-based practice. It also informed all 50 state Medicaid directors that The Centers for Medicare and Medicaid Services would pay for peer support services, provided that peer support specialists—like other types of healthcare providers—were ...
[1]: 550 AAAHC has been granted "deemed status" to certify ambulatory surgery centers for Medicare by the Centers for Medicare and Medicaid Services. In 2009, the AAAHC added the Medical home to the types of organizations that it accredits. It offers on-site surveys for organizations seeking Medical Home accreditation or certification. [2]
Typically eligible professionals for Medicaid reimbursement in federally qualified health centers include psychiatrists, psychologists and licensed clinical social workers. Access to care and payment tends to be less restrictive with Medicare, another federal program for persons without private insurance.
Medicare Advantage and Medicare Prescription Drug Programs to Remain Stable in 2024, U.S. Centers for Medicare and Medicaid Services. Accessed September 6, 2024. Accessed September 6, 2024.
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