Medicaid Reimbursement and Non-licensed Behavioral Health Professionals
This report identifies and addresses four key questions related to Medicaid billing and reimbursement for certified and credentialed behavioral health professionals, also referred to as non-licensed providers. These areas include:
- What behavioral health services can be provided by non-licensed certified behavioral health professionals and reimbursed through Medicaid?
- What conditions do employers have to meet to receive Medicaid reimbursement for services provided by non-licensed certified behavioral health professionals?
- What items in current regulations, statutes, and manuals need further clarification to maximize Medicaid reimbursement for organizations that employ certified non-licensed behavioral health workers?
- What gaps exist in the current Medicaid reimbursement system for non-licensed workers and what are recommendations to address those gaps?
This report was written on behalf of the Grow Our Behavioral Health Workforce Consortium (the Consortium), a multi-sector group with a goal to “develop and sustain an infrastructure for New Mexico’s behavioral health workforce that is implemented and valued by individuals and the organizations it supports.”
This report was written on behalf of the Grow Our Behavioral Health Workforce Consortium (the Consortium), a multi-sector group with a goal to “develop and sustain an infrastructure for New Mexico’s behavioral health workforce that is implemented and valued by individuals and the organizations it supports.”