# Medicare Program; Scope of Medicare Benefits and Application of the Outpatient Mental Health Treatment Limitation to Clinical Psychologist and Clinical Social Worker Services
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 1998-04-23 · Effective 1998-06-22 · 63 FR 20110
## Document
- **Document number:** 98-10591
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 63 FR 20110
- **CFR reference:** 42 CFR 410
- **Publication date:** 1998-04-23
- **Effective date:** 1998-06-22
- **HHS docket:** HCFA-3706-F
## Abstract

This rule addresses requirements for Medicare coverage of services furnished by a clinical psychologist or as an incident to the services of a clinical psychologist and for services furnished by a clinical social worker. The requirements are based on section 6113 of the Omnibus Budget Reconciliation Act of 1989, section 4157 of the Omnibus Budget Reconciliation Act of 1990, and section 147(b) of the Social Security Act Amendments of 1994 (SSA '94). This rule also addresses the outpatient mental health treatment limitation as it applies to clinical psychologist and clinical social worker services. This final rule also conforms our regulations to section 104 of the Social Security Act Amendments of 1994. Section 104 provides that a Medicare patient in a Medicare-participating hospital who is receiving qualified psychologist services may be under the care of a clinical psychologist with respect to those services, to the extent permitted under State law. In addition, this final rule requires that clinical psychologists and clinical social workers use appropriate diagnostic coding when submitting Medicare Part B claims.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/1998/04/23/98-10591/medicare-program-scope-of-medicare-benefits-and-application-of-the-outpatient-mental-health)
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