Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.6

Clinical Psychologists

Last amended: 2025Year: 2025Length: 145 wordsOfficial source
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.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.6: Clinical Psychologists | Justis AI