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Licensed Master Social Worker (LMSW) in RHC
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2/11/2021 @ 5:30:00 PM
Post 11 of 16

Contributor: Connie Lovell, Beatrice Family & Internal Medicine

Thank you everyone for the great information! I truly appreciate you taking the time to share this information.

Connie

Connie Lovell, MSOM, CPC | Director of Health Information Management
Beatrice Community Hospital & Health Center
P.O. Box 278 | 4800 Hospital Parkway | Beatrice, NE 68310
Office: 402-223-7294 | Mobile: 402-230-0233 | Fax: 402-223-7211
E-Mail: clovell@bchhc.org

6/1/2023 @ 2:06:00 PM
Post 12 of 16

Contributor: Claire Cieri, Orchid Health

May a LCSW see patients without a PCP and/or clinical psychologist present in the RHC clinic? 

Thank you.

Claire Cieri, Compliance Manager

Orchid Health

clairecieri@orchidhealth.org

 

 

 

6/1/2023 @ 4:32:00 PM
Post 13 of 16

Contributor: Cassie Beesley, Springfield Clinic - Hillsboro East

Yes and LCSW is fine to see patients without another provider present in the office, as they are one of the billable providers under Rural Health regulations.

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6/2/2023 @ 2:59:00 PM
Post 14 of 16

Contributor: LeaAnn Haase, Trinity Health Medical Group RHCs

Which social worker licenses are billable under the RHC? LMSW, LCSW.... Any others?

7/13/2023 @ 3:16:00 PM
Post 15 of 16

Contributor: Chelle Rosell, Henry County Health Center - Mt Pleasant Clinic

Great information on the Licensed Social Worker.  Thank you.  Related question...Can a Nurse Practitioner (PMHNP) also qualify for billing behavioral health services? And if so, is the reimbursement the same as our AIR?  ( i.e., CPT 90791, 90832, 90834, 90837, 90785, 90792, 90785, 90833, 90836, 90839, 90827).  

Thanks much.  MR

 

 

7/14/2023 @ 4:10:00 PM
Post 16 of 16

Contributor: Nathan Baugh, National Association of Rural Health Clinics

Hi Chelle,

If your PMHNP meets the requirements below and state scope of practice allows them to bill for those codes then you should be able to receive your AIR. If they do not meet the below definition, they would not be able to generate RHC encounters, at least for now... 

This a topical question because in the proposed PFS rule that came out just yesterday, CMS actually solicited comments on the below definition. Specifically, CMS asked for feedback on whether or not the definition of a nurse practitioner should specify "primary care" or if that distinction should be removed...

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-491/subpart-A/section-491.2 

Nurse practitioner means a registered professional nurse who is currently licensed to practice in the State, who meets the State's requirements governing the qualifications of nurse practitioners, and who meets one of the following conditions: 

(1) Is currently certified as a primary care nurse practitioner by the American Nurses' Association or by the National Board of Pediatric Nurse Practitioners and Associates; or 

(2) Has satisfactorily completed a formal 1 academic year educational program that: 

(i) Prepares registered nurses to perform an expanded role in the delivery of primary care; 

(ii) Includes at least 4 months (in the aggregate) of classroom instruction and a component of supervised clinical practice; and 

(iii) Awards a degree, diploma, or certificate to persons who successfully complete the program; or 

(3) Has successfully completed a formal educational program (for preparing registered nurses to perform an expanded role in the delivery of primary care) that does not meet the requirements of paragraph (2) of this definition, and has been performing an expanded role in the delivery of primary care for a total of 12 months during the 18-month period immediately preceding the effective date of this subpart.


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