Opting Out of Medicare as a Clinical Social Worker

Mirean Coleman, MSW, LICSW, CT

Clinical Social Work

Practice Perspectives


NASW members are seeking reimbursement clarifications when performing psychotherapy services to Medicare Part B beneficiaries who do not wish to use their Medicare benefits. In such situations, a clinical social worker may opt-out of Medicare. Opting out means that the clinical social worker cannot bill Medicare for any services they provide for a two year period. Instead, reimbursement is received from the Medicare beneficiary under the terms of a private contract.

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