Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 Hi Yi-Hui n All, I have contacted Corrigan at AATA regarding this. I believe whomever you spoke to is mistaken an that we may be able to apply but under an alt name such as "allied mental health services." As soon as I hear back I will write you with any information. In the meantime, have you spoken to the name listed on the tool kit for NY? I believe his name was . Michele Michele Amendolari MA, ATR-BC, LCAT Governmental Affairs Chair, New York Art Therapy Associationwww.nyarttherapy.org To: NYCCAT Cc: NYATAegroups Sent: Friday, June 8, 2012 2:11 PMSubject: Medicare enrollment Dear All,After receiving the toolkit: working with medicare and medicaid from AATA, I had called Manhattan representative agency: National Government Services, Inc. to verify if LCAT can apply for medicare enrollment. The answer I received today was quite disappointing. I was told that LCAT is not listed on the specialist list of www.cms.gov., therefore, they recommended me not to send an application. I also visited the website and obtained the following list and had found OT, PT and clinical social worker on the list, but not LCAT.Has anyone experienced the similar answer regarding medicare enrollment?Thank you,Yi-Hui Chang, LCAThttp://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/downloads/JSMTDL-08515MedicarProviderTypetoHCPTaxonomy.pdf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 Yi-Hui, Can you please send to my e-mail address the names and contact info of who you spoke with? I am working with AATA President Corrigan to follow up on this for you. Michele Michele Amendolari MA, ATR-BC, LCAT Governmental Affairs Chair, New York Art Therapy Associationwww.nyarttherapy.org To: NYCCAT Cc: NYATAegroups Sent: Friday, June 8, 2012 2:11 PMSubject: Medicare enrollment Dear All,After receiving the toolkit: working with medicare and medicaid from AATA, I had called Manhattan representative agency: National Government Services, Inc. to verify if LCAT can apply for medicare enrollment. The answer I received today was quite disappointing. I was told that LCAT is not listed on the specialist list of www.cms.gov., therefore, they recommended me not to send an application. I also visited the website and obtained the following list and had found OT, PT and clinical social worker on the list, but not LCAT.Has anyone experienced the similar answer regarding medicare enrollment?Thank you,Yi-Hui Chang, LCAThttp://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/downloads/JSMTDL-08515MedicarProviderTypetoHCPTaxonomy.pdf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 PS- In response to Yi-Hui's concerns. The LCAT is not a national license and Medicare is a national program so when the information is written it is written nationally, in which case listing LCAT would not apply to all states. Use the information sent previously and apply under "art therapy." Michele Michele Amendolari MA, ATR-BC, LCAT Governmental Affairs Chair, New York Art Therapy Associationwww.nyarttherapy.org To: NYCCAT Cc: NYATAegroups Sent: Friday, June 8, 2012 2:11 PMSubject: Medicare enrollment Dear All,After receiving the toolkit: working with medicare and medicaid from AATA, I had called Manhattan representative agency: National Government Services, Inc. to verify if LCAT can apply for medicare enrollment. The answer I received today was quite disappointing. I was told that LCAT is not listed on the specialist list of www.cms.gov., therefore, they recommended me not to send an application. I also visited the website and obtained the following list and had found OT, PT and clinical social worker on the list, but not LCAT.Has anyone experienced the similar answer regarding medicare enrollment?Thank you,Yi-Hui Chang, LCAThttp://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/downloads/JSMTDL-08515MedicarProviderTypetoHCPTaxonomy.pdf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2012 Report Share Posted June 9, 2012 I can share my experience of applying to Medicare via the pecos system last year. I applied as an art therapist (choosing non-physician/other provider) options. After some back and forth, my application was rejected because " art therapy " is not a nationally licensed profession. I received a document saying just that. I reapplied with my LCSW license and was able to get our corporation (New York Creative Arts Therapists)to also be a covered entity. In short, my affiliation as an LCSW working for a licensed art therapy business allowed us to get the business itself (and all practitioners working for us) to be an approved provider for Medicare. Keep in mind, LCATs can be reimbursed by Medicare and Medicaid if you work for an OMH regulated agency in NYS. Unfortunately, we cannot apply as individual private practitioners. And it's not just LCATs --LMFTs, LPs, LPCs, and LMHCs are also ineligible to become Medicare (National program) or Medicaid (NYS program) providers as private practitioners. Of note, LCSWs cannot see straight-Medicaid clients in private practice. They can only see Medicaid clients who also qualify for Medicare (QMBs they are called). On a related note (for those interested in becoming in-network providers for other insurances), most New York insurance plans are closed to all mental health providers at this time, unless you are located in a severely under-served geographic area (like far upstate NY). Several insurances only accept LCSW-R and Phd providers in-network. This means that LCATs are not the only professionals shut out of the plans. The requirements to join many networks is quite stringent. To receive an LCSW-R, a therapist must have a minimum of six (6) years post graduate supervision and approximately 4500 hours of direct client contact hours. And many plans are now requiring that practitioners show proof of additional professional training in their declared area of expertise, i.e. trauma treatment, CBT, ABA, etc. All that said, I don't recall if I followed the exact steps that re-printed from AATA. So, if someone else is willing to try, it would be great to hear a different result. This is my understanding of the situation based on my personal experiences trying to expand our insurance coverage options. I am happy to hear of other outcomes. Drena Fagen, LCAT, LCSW, ATR-BC nycreativetherapists.com Brooklyn, NY Quote Link to comment Share on other sites More sharing options...
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