Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.6
Clinical Psychologists
10.2.3.6 – Clinical Psychologists
(Rev. 13355; Issued: 08-13-25; Effective: 05-05-25; Implementation: 05-05-25)
Federal regulations at 42 CFR § 410.71(d) state that to qualify as a clinical psychologist, a
practitioner must meet the following requirements:
1. Hold a doctoral degree in psychology (that is, a Ph.D., Ed.D., Psy.D.), and
2. Is licensed or certified, on the basis of the doctoral degree in psychology, by the state in
which the individual practices, at the independent practice level of psychology to
furnish diagnostic, assessment, preventive, and therapeutic services directly to
individuals.
A clinical psychologist must agree to meet the consultation requirements of 42 CFR §
410.71(e)(1) through (e)(3). Under 42 CFR § 410.71(e), the individual’s signing of the
Form CMS-855I indicates the individual’s agreement to adhere to the requirements of §
410.71(e)(1) through (e)(3).
For more information on clinical psychologists, refer to Pub. 100-02, chapter 15, section
160.