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Mental Health

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Covered Services

Mental health services that may be covered under the Medicare Program

  • Psychiatric diagnostic interviews;
  • Individual psychotherapy;
  • Interactive psychotherapy;
  • Family psychotherapy (with patient present and primary purpose of which is treatment of individual's condition);
  • Family psychotherapy (without patient present that is medically reasonable and necessary and primary purpose of which is treatment of individual's condition);
  • Group psychotherapy;
  • Psychoanalysis;
  • Pharmacologic management;
  • Electroconvulsive therapy (ECT);
  • Diagnostic psychological and neuropsychological tests;
  • Hypnotherapy;
  • Narcosynthesis;
  • Biofeedback therapy; and
  • Individualized activity therapy (as part of a Partial Hospitalization Program [PHP] and that is not primarily recreational or diversionary).

Noncovered Services

Mental health services not covered under the Medicare Program

  • Environmental intervention;
  • Geriatric day care programs;
  • Individual psychophysiological therapy that incorporates biofeedback training (any modality);
  • Marriage counseling;
  • Pastoral counseling;
  • Report preparation;
  • Interpretation or explanation of results or data;
  • Transportation and meals; and
  • Telephone services. 

Resources

Last Updated Jan 06, 2016