🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 10 (from laksa051)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa010.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.54\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.54\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54","crawl_time":1775434138,"first_indexed_time":1700736462,"http_code":200,"src_unparsed":"gov,ecfr!www,\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54 s443","src_root_hash":"9956462627642933010","history_drop_reason":null,"meta_title":"eCFR :: 42 CFR 410.54 -- Mental health counselor services.","meta_descriptions":[],"attrs_boilerpipe_text":"§ 410.54 Mental health counselor services.\n(\na\n)\nDefinition: mental health counselor.\nFor purposes of this part, a\nmental health counselor\nis defined as an individual who—\n(\n1\n)\nPossesses a master's or doctor's degree which qualifies for licensure or certification as a mental health counselor, clinical professional counselor, professional counselor under the State law of the State in which such individual furnishes the services defined as mental health counselor services;\n(\n2\n)\nAfter obtaining such a degree, has performed at least 2 years or 3,000 hours of post master's degree clinical supervised experience in mental health counseling in an appropriate setting such as a hospital, SNF, private practice, or clinic; and\n(\n3\n)\nIs licensed or certified as a mental health counselor, clinical professional counselor, professional counselor by the State in which the services are performed.\n(\nb\n)\nCovered mental health counselor services.\nMedicare Part B covers mental health counselor services.\n(\n1\n)\nDefinition: Mental health counselor services\nmeans services furnished by a mental health counselor (as defined in\nparagraph (a)\nof this section) for the diagnosis and treatment of mental illnesses (other than services furnished to an inpatient of a hospital), which the mental health counselor is legally authorized to perform under State law (or the State regulatory mechanism provided by State law) of the State in which such services are furnished. The services must be of a type that would be covered if they were furnished by a physician or as an incident to a physician's professional service and must meet the requirements of this section.\n(\n2\n)\nException.\nThe following services are not mental health counselor services for purposes of billing Medicare Part B:\n(\ni\n)\nServices furnished by a mental health counselor to an inpatient of a Medicare-participating hospital.\n(\nii\n)\n[Reserved]\n(\nc\n)\nProhibited billing.\n(\n1\n)\nA mental health counselor may not bill Medicare for the services specified in\nparagraph (b)(2)\nof this section.\n(\n2\n)\nA mental health counselor or an attending or primary care physician may not bill Medicare or the beneficiary for the consultation that is required under\nparagraph(b)(2)\nof this section.\n[\n88 FR 79527\n, Nov. 16, 2023]","attrs_markdown":"Site Feedback\n\n##### You are using an unsupported browser ×\nYou are using an unsupported browser. This web site is designed for the current versions of Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari.\n\n×\n\n### Site Feedback\n\nThe Office of the Federal Register publishes documents on behalf of Federal agencies but does not have any authority over their programs. 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Title 42 was last amended 3\/12\/2026.\n\n[view historical versions](https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54)\n\nA [drafting site is available](https:\/\/drafting.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54) for use when drafting amendatory language\n\n[switch to drafting site](https:\/\/drafting.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54)\n\n**Navigate by entering citations or phrases** (eg: 1 CFR 1.1 49 CFR 172.101 Organization and Purpose 1\/1.1 Regulation Y FAR).\n\nChoosing an item from citations and headings will bring you directly to the content. Choosing an item from full text search results will bring you to those results. Pressing enter in the search box will also bring you to search results.\n\nBackground and more details are available in the  *[Search & Navigation](https:\/\/www.ecfr.gov\/reader-aids\/using-ecfr\/navigating-to-content-of-interest#search-navigation)*  guide.\n\n1. [Title 42 —Public Health](https:\/\/www.ecfr.gov\/current\/title-42)\n2. [Chapter IV —Centers for Medicare & Medicaid Services, Department of Health and Human Services](https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV)\n3. [Subchapter B —Medicare Program](https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B)\n4. [Part 410 —Supplementary Medical Insurance (SMI) Benefits](https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410?toc=1)\n5. [Subpart B —Medical and Other Health Services](https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B?toc=1)\n6. § 410.54\n\n- [Previous](https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.53)\n- [Next](https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.55)\n- [Top](https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54#page-top)\n\n- Table of Contents\n  ###### Enhanced Content - Table of Contents\n  The in-page Table of Contents is available only when multiple sections are being viewed.\n  \n  Use the navigation links in the gray bar above to view the table of contents that this content belongs to.\n  ###### Enhanced Content - Table of Contents\n- Details\n  ###### Enhanced Content - Details\n  URL\n  \n  https:\/\/www.ecfr.gov\/current\/title-42\/part-410\/section-410.54\n  \n  Citation\n  \n  42 CFR 410.54\n  \n  Agency\n  \n  Centers for Medicare & Medicaid Services, Department of Health and Human Services\n  ***\n  [Part 410](https:\/\/www.ecfr.gov\/current\/title-42\/part-410)\n  \n  #### Authority:\n  [42 U.S.C. 1302](https:\/\/www.govinfo.gov\/link\/uscode\/42\/1302), [1395m](https:\/\/www.govinfo.gov\/link\/uscode\/42\/1395m), [1395hh](https:\/\/www.govinfo.gov\/link\/uscode\/42\/1395hh), [1395rr](https:\/\/www.govinfo.gov\/link\/uscode\/42\/1395rr), and [1395ddd](https:\/\/www.govinfo.gov\/link\/uscode\/42\/1395ddd).\n  \n  #### Source:\n  [51 FR 41339](https:\/\/www.federalregister.gov\/citation\/51-FR-41339), Nov. 14, 1986, unless otherwise noted.\n  ###### Enhanced Content - Details\n- Print\/PDF\n  ###### Enhanced Content - Print\n  [Generate PDF](https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54)\n  \n  This content is from the eCFR and may include recent changes applied to the CFR. The official, published CFR, is updated annually and available below under \"Published Edition\". You can learn more about the process [here](https:\/\/www.govinfo.gov\/help\/cfr#about).\n  ###### Enhanced Content - Print\n- Display Options\n  ###### Enhanced Content - Display Options\n  ###### Enhanced Content - Display Options\n- Subscribe\n  ###### Enhanced Content - Subscribe\n  **Subscribe to:** 42 CFR 410.54\n  \n  ###### Enhanced Content - Subscribe\n- Timeline\n  ###### Enhanced Content - Timeline\n  1. 1\/01\/2024   [view on this date](https:\/\/www.ecfr.gov\/on\/2024-01-01\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54)   [view change introduced](https:\/\/www.ecfr.gov\/compare\/2024-01-01\/to\/2023-12-31\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54)\n  2. 11\/16\/2023   [view on this date](https:\/\/www.ecfr.gov\/on\/2023-11-16\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54)   [view change introduced](https:\/\/www.ecfr.gov\/compare\/2023-11-16\/to\/2023-11-15\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54)  [compare to most recent](https:\/\/www.ecfr.gov\/compare\/current\/to\/2023-11-16\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54)\n  ###### Enhanced Content - Timeline\n- Go to Date\n  ###### Enhanced Content - Go to Date\n  ###### Enhanced Content - Go to Date\n- Compare Dates\n  ###### Enhanced Content - Compare Dates\n  ###### Enhanced Content - Compare Dates\n- Published Edition\n  ###### Enhanced Content - Published Edition\n  View the most recent official publication:\n  \n  - [View Title 42 on govinfo.gov](https:\/\/www.govinfo.gov\/app\/collection\/cfr\/2026)\n  - [View the PDF for 42 CFR 410.54](https:\/\/www.govinfo.gov\/link\/cfr\/42\/410?link-type=pdf&sectionnum=54&year=mostrecent)\n  \n  These links go to the official, published CFR, which is updated annually. As a result, it may not include the most recent changes applied to the CFR. [Learn more](https:\/\/www.govinfo.gov\/help\/cfr#about).\n  ###### Enhanced Content - Published Edition\n- Developer Tools\n  ###### Enhanced Content - Developer Tools\n  Information and documentation can be found in our [developer resources](https:\/\/www.ecfr.gov\/reader-aids\/ecfr-developer-resources).\n  \n  ###### Enhanced Content - Developer Tools\n\n###### eCFR Content\nThe *Code of Federal Regulations* (CFR) is the official legal print publication containing the codification of the general and permanent rules published in the *Federal Register* by the departments and agencies of the Federal Government. The Electronic Code of Federal Regulations (eCFR) is a continuously updated online version of the CFR. It is not an official legal edition of the CFR.\n\n[Learn more](https:\/\/www.ecfr.gov\/reader-aids\/understanding-the-ecfr\/what-is-the-ecfr) about the eCFR, its status, and the editorial process.\n\n###### Editorial Note on [Part 410](https:\/\/www.ecfr.gov\/current\/title-42\/part-410?toc=1)\n#### Editorial Note:\nNomenclature changes to part 410 appear at [62 FR 46037](https:\/\/www.federalregister.gov\/citation\/62-FR-46037), Aug. 29, 1997.\n\n#### § 410.54 Mental health counselor services.\n(a) *Definition: mental health counselor.* For purposes of this part, a *mental health counselor* is defined as an individual who—\n\n(1) Possesses a master's or doctor's degree which qualifies for licensure or certification as a mental health counselor, clinical professional counselor, professional counselor under the State law of the State in which such individual furnishes the services defined as mental health counselor services;\n\n(2) After obtaining such a degree, has performed at least 2 years or 3,000 hours of post master's degree clinical supervised experience in mental health counseling in an appropriate setting such as a hospital, SNF, private practice, or clinic; and\n\n(3) Is licensed or certified as a mental health counselor, clinical professional counselor, professional counselor by the State in which the services are performed.\n\n(b) *Covered mental health counselor services.* Medicare Part B covers mental health counselor services.\n\n(1) *Definition: Mental health counselor services* means services furnished by a mental health counselor (as defined in [paragraph (a)](https:\/\/www.ecfr.gov\/current\/title-42\/section-410.54#p-410.54\\(a\\)) of this section) for the diagnosis and treatment of mental illnesses (other than services furnished to an inpatient of a hospital), which the mental health counselor is legally authorized to perform under State law (or the State regulatory mechanism provided by State law) of the State in which such services are furnished. The services must be of a type that would be covered if they were furnished by a physician or as an incident to a physician's professional service and must meet the requirements of this section.\n\n(2) *Exception.* The following services are not mental health counselor services for purposes of billing Medicare Part B:\n\n(i) Services furnished by a mental health counselor to an inpatient of a Medicare-participating hospital.\n\n(ii) \\[Reserved\\]\n\n(c) *Prohibited billing.*\n\n(1) A mental health counselor may not bill Medicare for the services specified in [paragraph (b)(2)](https:\/\/www.ecfr.gov\/current\/title-42\/section-410.54#p-410.54\\(b\\)\\(2\\)) of this section.\n\n(2) A mental health counselor or an attending or primary care physician may not bill Medicare or the beneficiary for the consultation that is required under [paragraph(b)(2)](https:\/\/www.ecfr.gov\/current\/title-42\/section-410.54#p-410.54\\(b\\)\\(2\\)) of this section.\n\n\\[[88 FR 79527](https:\/\/www.federalregister.gov\/citation\/88-FR-79527), Nov. 16, 2023\\]\n###### eCFR Content\n\n## Pages\n- [Home](https:\/\/www.ecfr.gov\/)\n- [Titles](https:\/\/www.ecfr.gov\/)\n- [Search](https:\/\/www.ecfr.gov\/search)\n- [Recent Changes](https:\/\/www.ecfr.gov\/recent-changes)\n- [Corrections](https:\/\/www.ecfr.gov\/corrections)\n\n## Reader Aids\n- [Using the eCFR Point-in-Time System](https:\/\/www.ecfr.gov\/reader-aids\/using-ecfr)\n- [Understanding the eCFR](https:\/\/www.ecfr.gov\/reader-aids\/understanding-the-ecfr)\n- [Government Policy and OFR Procedures](https:\/\/www.ecfr.gov\/reader-aids\/government-policy-and-ofr-procedures)\n- [Developer Resources](https:\/\/www.ecfr.gov\/reader-aids\/ecfr-developer-resources)\n- [Recent Site Updates](https:\/\/www.ecfr.gov\/reader-aids\/ecfr-recent-updates)\n\n## Information\n- [About This Site](https:\/\/www.ecfr.gov\/reader-aids\/government-policy-and-ofr-procedures\/about-this-site)\n- [Legal Status](https:\/\/www.ecfr.gov\/reader-aids\/government-policy-and-ofr-procedures\/about-this-site#legal-status)\n- [Privacy](https:\/\/www.ecfr.gov\/reader-aids\/government-policy-and-ofr-procedures\/privacy)\n- [Accessibility](https:\/\/www.ecfr.gov\/reader-aids\/government-policy-and-ofr-procedures\/accessibility)\n- [FOIA](https:\/\/www.ecfr.gov\/reader-aids\/government-policy-and-ofr-procedures\/foia)\n- [No Fear Act](https:\/\/www.archives.gov\/eeo\/policy\/no-fear-notice.html)\n- [Continuity Information](https:\/\/www.archives.gov\/federal-register\/contact.html#coop)\n\n## My eCFR\n- [My Subscriptions](https:\/\/www.ecfr.gov\/my\/subscriptions)\n- [Sign In \/ Sign Up](https:\/\/www.ecfr.gov\/auth\/sign_in?jwt=eyJhbGciOiJIUzI1NiJ9.eyJub3RpZmljYXRpb25zIjp7ImluZm8iOiJZb3Ugd2lsbCBiZSByZWRpcmVjdGVkIGJhY2sgdG8gdGhlIGVDRlIgYWZ0ZXIgeW91IGhhdmUgc2lnbmVkIGluIG9yIGNyZWF0ZWQgYW4gYWNjb3VudC4ifX0.-sYkHWfC02yb0CpuUqmPkxxnF0yzlNHaS5520hYIUy8&redirect_to=https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-B\/part-410\/subpart-B\/section-410.54)","attrs_readable_markdown":"#### § 410.54 Mental health counselor services.\n(a) *Definition: mental health counselor.* For purposes of this part, a *mental health counselor* is defined as an individual who—\n\n(1) Possesses a master's or doctor's degree which qualifies for licensure or certification as a mental health counselor, clinical professional counselor, professional counselor under the State law of the State in which such individual furnishes the services defined as mental health counselor services;\n\n(2) After obtaining such a degree, has performed at least 2 years or 3,000 hours of post master's degree clinical supervised experience in mental health counseling in an appropriate setting such as a hospital, SNF, private practice, or clinic; and\n\n(3) Is licensed or certified as a mental health counselor, clinical professional counselor, professional counselor by the State in which the services are performed.\n\n(b) *Covered mental health counselor services.* Medicare Part B covers mental health counselor services.\n\n(1) *Definition: Mental health counselor services* means services furnished by a mental health counselor (as defined in [paragraph (a)](https:\/\/www.ecfr.gov\/current\/title-42\/section-410.54#p-410.54\\(a\\)) of this section) for the diagnosis and treatment of mental illnesses (other than services furnished to an inpatient of a hospital), which the mental health counselor is legally authorized to perform under State law (or the State regulatory mechanism provided by State law) of the State in which such services are furnished. The services must be of a type that would be covered if they were furnished by a physician or as an incident to a physician's professional service and must meet the requirements of this section.\n\n(2) *Exception.* The following services are not mental health counselor services for purposes of billing Medicare Part B:\n\n(i) Services furnished by a mental health counselor to an inpatient of a Medicare-participating hospital.\n\n(ii) \\[Reserved\\]\n\n(c) *Prohibited billing.*\n\n(1) A mental health counselor may not bill Medicare for the services specified in [paragraph (b)(2)](https:\/\/www.ecfr.gov\/current\/title-42\/section-410.54#p-410.54\\(b\\)\\(2\\)) of this section.\n\n(2) A mental health counselor or an attending or primary care physician may not bill Medicare or the beneficiary for the consultation that is required under [paragraph(b)(2)](https:\/\/www.ecfr.gov\/current\/title-42\/section-410.54#p-410.54\\(b\\)\\(2\\)) of this section.\n\n\\[[88 FR 79527](https:\/\/www.federalregister.gov\/citation\/88-FR-79527), Nov. 16, 2023\\]","meta_canonical":null}

3. Robots.txt Check

Query:

Response:

4. Spam/Ban Check

Query:

Response:

5. Seen Status Check

ℹ️ Skipped - page is already crawled

📄

INDEXABLE

✅

CRAWLED

9 days ago

🤖

ROBOTS ALLOWED

Page Info Filters

Filter	Status	Condition	Details
HTTP status	PASS	`download_http_code = 200`	HTTP 200
Age cutoff	PASS	`download_stamp > now() - 6 MONTH`	0.3 months ago
History drop	PASS	`isNull(history_drop_reason)`	No drop reason
Spam/ban	PASS	`fh_dont_index != 1 AND ml_spam_score = 0`	ml_spam_score=0
Canonical	PASS	`meta_canonical IS NULL OR = '' OR = src_unparsed`	Not set

Page Details

Property	Value
URL	https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.54
Last Crawled	2026-04-06 00:08:58 (9 days ago)
First Indexed	2023-11-23 10:47:42 (2 years ago)
HTTP Status Code	200
Meta Title	eCFR :: 42 CFR 410.54 -- Mental health counselor services.
Meta Description	null
Meta Canonical	null
Boilerpipe Text	§ 410.54 Mental health counselor services. ( a ) Definition: mental health counselor. For purposes of this part, a mental health counselor is defined as an individual who— ( 1 ) Possesses a master's or doctor's degree which qualifies for licensure or certification as a mental health counselor, clinical professional counselor, professional counselor under the State law of the State in which such individual furnishes the services defined as mental health counselor services; ( 2 ) After obtaining such a degree, has performed at least 2 years or 3,000 hours of post master's degree clinical supervised experience in mental health counseling in an appropriate setting such as a hospital, SNF, private practice, or clinic; and ( 3 ) Is licensed or certified as a mental health counselor, clinical professional counselor, professional counselor by the State in which the services are performed. ( b ) Covered mental health counselor services. Medicare Part B covers mental health counselor services. ( 1 ) Definition: Mental health counselor services means services furnished by a mental health counselor (as defined in paragraph (a) of this section) for the diagnosis and treatment of mental illnesses (other than services furnished to an inpatient of a hospital), which the mental health counselor is legally authorized to perform under State law (or the State regulatory mechanism provided by State law) of the State in which such services are furnished. The services must be of a type that would be covered if they were furnished by a physician or as an incident to a physician's professional service and must meet the requirements of this section. ( 2 ) Exception. The following services are not mental health counselor services for purposes of billing Medicare Part B: ( i ) Services furnished by a mental health counselor to an inpatient of a Medicare-participating hospital. ( ii ) [Reserved] ( c ) Prohibited billing. ( 1 ) A mental health counselor may not bill Medicare for the services specified in paragraph (b)(2) of this section. ( 2 ) A mental health counselor or an attending or primary care physician may not bill Medicare or the beneficiary for the consultation that is required under paragraph(b)(2) of this section. [ 88 FR 79527 , Nov. 16, 2023]
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[Learn more](https://www.ecfr.gov/reader-aids/understanding-the-ecfr/what-is-the-ecfr) about the eCFR, its status, and the editorial process. ###### Editorial Note on [Part 410](https://www.ecfr.gov/current/title-42/part-410?toc=1) #### Editorial Note: Nomenclature changes to part 410 appear at [62 FR 46037](https://www.federalregister.gov/citation/62-FR-46037), Aug. 29, 1997. #### § 410.54 Mental health counselor services. (a) Definition: mental health counselor. For purposes of this part, a mental health counselor is defined as an individual who— (1) Possesses a master's or doctor's degree which qualifies for licensure or certification as a mental health counselor, clinical professional counselor, professional counselor under the State law of the State in which such individual furnishes the services defined as mental health counselor services; (2) After obtaining such a degree, has performed at least 2 years or 3,000 hours of post master's degree clinical supervised experience in mental health counseling in an appropriate setting such as a hospital, SNF, private practice, or clinic; and (3) Is licensed or certified as a mental health counselor, clinical professional counselor, professional counselor by the State in which the services are performed. (b) Covered mental health counselor services. Medicare Part B covers mental health counselor services. (1) Definition: Mental health counselor services means services furnished by a mental health counselor (as defined in [paragraph (a)](https://www.ecfr.gov/current/title-42/section-410.54#p-410.54\(a\)) of this section) for the diagnosis and treatment of mental illnesses (other than services furnished to an inpatient of a hospital), which the mental health counselor is legally authorized to perform under State law (or the State regulatory mechanism provided by State law) of the State in which such services are furnished. The services must be of a type that would be covered if they were furnished by a physician or as an incident to a physician's professional service and must meet the requirements of this section. (2) Exception. The following services are not mental health counselor services for purposes of billing Medicare Part B: (i) Services furnished by a mental health counselor to an inpatient of a Medicare-participating hospital. (ii) \[Reserved\] (c) Prohibited billing. (1) A mental health counselor may not bill Medicare for the services specified in [paragraph (b)(2)](https://www.ecfr.gov/current/title-42/section-410.54#p-410.54\(b\)\(2\)) of this section. (2) A mental health counselor or an attending or primary care physician may not bill Medicare or the beneficiary for the consultation that is required under [paragraph(b)(2)](https://www.ecfr.gov/current/title-42/section-410.54#p-410.54\(b\)\(2\)) of this section. \[[88 FR 79527](https://www.federalregister.gov/citation/88-FR-79527), Nov. 16, 2023\] ###### eCFR Content ## Pages - [Home](https://www.ecfr.gov/) - [Titles](https://www.ecfr.gov/) - [Search](https://www.ecfr.gov/search) - [Recent Changes](https://www.ecfr.gov/recent-changes) - [Corrections](https://www.ecfr.gov/corrections) ## Reader Aids - [Using the eCFR Point-in-Time System](https://www.ecfr.gov/reader-aids/using-ecfr) - [Understanding the eCFR](https://www.ecfr.gov/reader-aids/understanding-the-ecfr) - [Government Policy and OFR Procedures](https://www.ecfr.gov/reader-aids/government-policy-and-ofr-procedures) - [Developer Resources](https://www.ecfr.gov/reader-aids/ecfr-developer-resources) - [Recent Site Updates](https://www.ecfr.gov/reader-aids/ecfr-recent-updates) ## Information - [About This Site](https://www.ecfr.gov/reader-aids/government-policy-and-ofr-procedures/about-this-site) - [Legal Status](https://www.ecfr.gov/reader-aids/government-policy-and-ofr-procedures/about-this-site#legal-status) - [Privacy](https://www.ecfr.gov/reader-aids/government-policy-and-ofr-procedures/privacy) - [Accessibility](https://www.ecfr.gov/reader-aids/government-policy-and-ofr-procedures/accessibility) - [FOIA](https://www.ecfr.gov/reader-aids/government-policy-and-ofr-procedures/foia) - [No Fear Act](https://www.archives.gov/eeo/policy/no-fear-notice.html) - [Continuity Information](https://www.archives.gov/federal-register/contact.html#coop) ## My eCFR - [My Subscriptions](https://www.ecfr.gov/my/subscriptions) - [Sign In / Sign Up](https://www.ecfr.gov/auth/sign_in?jwt=eyJhbGciOiJIUzI1NiJ9.eyJub3RpZmljYXRpb25zIjp7ImluZm8iOiJZb3Ugd2lsbCBiZSByZWRpcmVjdGVkIGJhY2sgdG8gdGhlIGVDRlIgYWZ0ZXIgeW91IGhhdmUgc2lnbmVkIGluIG9yIGNyZWF0ZWQgYW4gYWNjb3VudC4ifX0.-sYkHWfC02yb0CpuUqmPkxxnF0yzlNHaS5520hYIUy8&redirect_to=https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.54)
Readable Markdown	#### § 410.54 Mental health counselor services. (a) Definition: mental health counselor. For purposes of this part, a mental health counselor is defined as an individual who— (1) Possesses a master's or doctor's degree which qualifies for licensure or certification as a mental health counselor, clinical professional counselor, professional counselor under the State law of the State in which such individual furnishes the services defined as mental health counselor services; (2) After obtaining such a degree, has performed at least 2 years or 3,000 hours of post master's degree clinical supervised experience in mental health counseling in an appropriate setting such as a hospital, SNF, private practice, or clinic; and (3) Is licensed or certified as a mental health counselor, clinical professional counselor, professional counselor by the State in which the services are performed. (b) Covered mental health counselor services. Medicare Part B covers mental health counselor services. (1) Definition: Mental health counselor services means services furnished by a mental health counselor (as defined in [paragraph (a)](https://www.ecfr.gov/current/title-42/section-410.54#p-410.54\(a\)) of this section) for the diagnosis and treatment of mental illnesses (other than services furnished to an inpatient of a hospital), which the mental health counselor is legally authorized to perform under State law (or the State regulatory mechanism provided by State law) of the State in which such services are furnished. The services must be of a type that would be covered if they were furnished by a physician or as an incident to a physician's professional service and must meet the requirements of this section. (2) Exception. The following services are not mental health counselor services for purposes of billing Medicare Part B: (i) Services furnished by a mental health counselor to an inpatient of a Medicare-participating hospital. (ii) \[Reserved\] (c) Prohibited billing. (1) A mental health counselor may not bill Medicare for the services specified in [paragraph (b)(2)](https://www.ecfr.gov/current/title-42/section-410.54#p-410.54\(b\)\(2\)) of this section. (2) A mental health counselor or an attending or primary care physician may not bill Medicare or the beneficiary for the consultation that is required under [paragraph(b)(2)](https://www.ecfr.gov/current/title-42/section-410.54#p-410.54\(b\)\(2\)) of this section. \[[88 FR 79527](https://www.federalregister.gov/citation/88-FR-79527), Nov. 16, 2023\]
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