AdministrativeMedicaidMay 22, 2024

CMS approves licensed professional clinical counselor addition into tribal federally qualified health centers

Effective January 1, 2024, the Centers for Medicare & Medicaid Services (CMS) approved State Plan Amendment 23-0037, which allows the Department of Healthcare Services (DHCS) to add licensed professional clinical counselors (LPCCs) as a billable practitioner at tribal federally qualified health centers (FQHCs). A new billing code has been introduced for LPCC services to be provided at tribal FQHCs. The mental health visits rendered by LPCCs will be reimbursable at the all-inclusive rate.

For ready reference, the billing code is provided as follows:

Revenue code

Procedure code and modifier  

Description

0561

T1015 HO

Mental Health Visit — LPCC

This initiative will expand the service provider workforce within tribal FQHCs and improve the accessibility of mental health professionals.

For more information, refer to the following attachments:

With this advancement and your help, we can reaffirm our commitment to bringing more accessible, inclusive, and comprehensive healthcare services.

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

CABC-CD-057378-24

ATTACHMENTS: Attachment #1: Rates for Tribal Federally Qualified Health Centers (Tribal FQHC) (pdf - 0.08mb), Attachment #2: List of Tribal Federally Qualified Health Center Providers (pdf - 0.14mb)