Part II: Advocating For Change In Home Health Care

Mirean Coleman, MSW, LICSW, CT

Clinical Social Work

Practice Updates


In 2009, NASW received telephone calls from members who expressed concerns that Medicare would not reimburse them for mental health services provided to Medicare beneficiaries when home health services were initiated before or during treatment. To determine how widespread the problem of non-payment was, NASW developed a practice alert, Advocating for Change in Home Health Care, (Coleman, 2009), and requested clinical social workers to contact the Association at if they had encountered reimbursement problems when providing mental health services to Medicare beneficiaries who were actively receiving home health care services under Medicare. The responses were mixed with some clinical social workers reporting Medicare payment denials and others reporting no problems.

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