All Licensed Providers Must Consider Medicare: 

By virtue of being licensed, ALL LMFTs and LPCCs are eligible Medicare providers UNLESS they have taken the appropriate steps to opt out of Medicare. If you are a licensed provider who has not yet decided what relationship you’ll have with Medicare, review this flow chart.

It might be time to renew your Medicare opt-out status! If you opted out of Medicare in 2024, you’ll be approaching your first opt-out renewal period in 2026. The opt-out auto-renewal cycle occurs every two years. 

If you wish to remain opted out of Medicare, you do not need to take any action. If you’ve changed your mind and wish to enroll as Medicare providers, you must notify your Medicare Administrative Contractor by letter no later than 30 days before the opt-out auto renewal would occur. If you live and work in California, you’ll contact California’s MAC, Noridian Healthcare Solutions. You should begin the Medicare provider enrollment process within that 30-day timeframe as well.  

If you’re uncertain about your opt-out status, visit the Center for Medicare and Medicaid’s Provider Opt-Out Affidavit Look-Up Tool to determine your opt-out renewal date. For more information about MFTs and Medicare, visit the Medicare Corner on CAMFT's website.