Medicare and the FQHC Behavioral Health Workforce: Expanded Services in 2024
New opportunities are available to FQHCs that provide behavioral health services under the Medicare program beginning in 2024. This training will focus on the new recognition of mental health counselors (MHCs) and marriage and family therapists (MFTs) and the introduction of intensive outpatient (IOP) services in Medicare. Additionally, we will discuss commonly experienced behavioral health compliance “hotspots” for FQHCs in Medicare and billing issues related to the provision of behavioral health services to Medicare-Medicaid dual eligible beneficiaries.
Session 1: MHCs and MFTs as Medicare Clinicians
In the first webinar, we will cover the rules surrounding the introduction of MHCs and MFTs as qualified providers of Medicare FQHC visits. We will explore the definitions of these two clinical professional types, and will answer questions concerning whether and how the MFTs and MHCs must enroll individually, as well as what types of services they will be authorized to provide as an FQHC “visit.” Further, we will address various logistical and compliance issues related to these professionals, including questions related to billing Medicare Advantage (MA) organizations for services provided by MHCs and MFTs; clinician licensure requirements (including the clinical supervision period); providing services to dual eligible beneficiaries; and providing MHC/MFT services via telecommunications or telehealth.
Session 2: IOP, Care Management, and Other New Medicare Opportunities
In the second webinar of the training, we will focus on the intensive outpatient (IOP) program launched for Medicare effective January 1, 2024. We will explore the array of services covered under IOP, billing rules for IOP, and how health centers can best use the talents of their entire behavioral health workforce, including peers and community health workers, to furnish IOP. We will also address the relationship between IOP services and the FQHC cost report; billing for IOP services provided to dual eligibles; and billing Medicare for supplemental payments for IOP services provided to enrollees in an MA plan.
- Billing Managers
- Behavioral Health Managers
- Clinical Practice Managers
- Revenue Cycle Managers
After this webinar, you will be able to:
- Define the new clinical professional types permitted as qualified providers of FQHC visits
- Describe the intensive outpatient program and best practices to furnish these services under Medicare
- Identify Medicare compliance pitfalls and implement strategies to avoid them
Susannah Vance Gopalan
Susannah Vance Gopalan is a Partner in the firm’s Health Care practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. She brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. She has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]
Participants can earn up to 1.20 CPE credits in Specialized Knowledge and Applications per webinar upon completion of all course requirements.
ATTENDEE REQUIREMENTS FOR CPE CREDIT
If you purchase CPE credit for this webinar you must satisfy the following conditions in order to receive your certificate:
- Answer at least 3 of the 5 polling questions during each webinar
- Complete the evaluation survey after the conclusion of the webinar or in the follow-up email
Upon completion of these requirements, Feldesman will email you your CPE Certificate within seven (7) business days.
- Prerequisites: None
- Target Audience: C-Suite, Billing Managers, Behavioral Health Managers, Clinical Practice Managers, Revenue Cycle Managers
- Advanced Preparation: None
- Program Level: All
- Delivery Method: Group Internet Based
- Attendance Requirements: In order to be awarded the full credits, you must respond to three (3) out of five (5) polling questions.
Feldesman Leifer LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website www.nasbaregistry.org (formerly www.learningmarket.org).
Access to the recorded version of this webinar series is included in your purchase.
The webinars in this course are only available for purchase as an entire webinar series. The recorded version of each webinar will be available in your account within seven (7) business days of each session and you will have access to the recordings for 90 days after the conclusion of the series. Once posted to your account, you can view each webinar anytime on-demand during the access period identified in your purchase confirmation. For additional information on viewing and accessing webinars, view our full terms and conditions here.
We accept the following forms of payment: American Express, Mastercard, Visa, ACH, PayPal, electronic check, and check. For information about the methods of payment we accept, please review our Payment FAQs.
Review our Cancellation Policies.
Google Chrome and Mozilla Firefox are the preferred browsers.