Section 65, Behavioral Health Services

July 1, 2013

  1. Dual eligibles (individuals who have both MaineCare and Medicare) will no longer be able to receive Behavioral Health Services from Licensed Clinical Professional Counselors (LCPCs) or Licensed Marriage and Family Therapists (LMFTs). They must receive these services from a Licensed Clinical Social Worker (LCSW). If a dual eligible member lives farther than 30 minutes from an LCSW, they may be able to be seen by an LCPC or LMFT. They should call Member Services (1-800-977-6740) to find out if this is an option for them. This change will be effective August 1, 2013, upon approval by the Centers for Medicare and Medicaid Services (CMS).

  2. The Department will reinstate reimbursement rates for Licensed Clinical Professional Counselors (LCPCs) and Licensed Marriage and Family Therapists (LMFTs) by 5%. This will be effective July 1, 2013, upon approval by CMS.