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LPCA - LICENSED PROFESSIONAL COUNSELOR ASSOCIATE

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TerriTye:
I currently bill for a LCSW. She also has an LPCA. The LPCA has an individual NPI. I'm unclear on whether she (the LPCA) can bill Medicare, Medicaid, etc.

rdmoore2003:
medicare does not recognize lpc's.

TerriTye:
Does any insurance co recognize LPC's?

Michele:
There are not a lot of insurance carriers who recognize LPCs.  I personally do not know of any.  There are probably some smaller carriers that may allow them for certain plans, but they are not widely accepted.  They can bill but it will be out of network and then it will depend on if the insurance plans have OON benefits and if they allow for LPCs even OON. 

rdmoore2003:

--- Quote from: Michele on January 29, 2014, 11:43:23 AM ---There are not a lot of insurance carriers who recognize LPCs.  I personally do not know of any.  There are probably some smaller carriers that may allow them for certain plans, but they are not widely accepted.  They can bill but it will be out of network and then it will depend on if the insurance plans have OON benefits and if they allow for LPCs even OON.

--- End quote ---

I disagree.   Only medicare & medicaid do not cover in my experience.   My lpc's are networked with bc/bs, cigna, tricare, etc.

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