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Topics include relocating across state lines and whether licensure reciprocity exists, handling situations where a patient is enrolled in both Medicare and Medicaid, and Medicare rules for non-clinical social workers seeking reimbursement under clinical credentials. Additional coverage includes resources and logistics for professional program participation and obtaining provider identifiers.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/frequently-asked-email-questions-from-private-practitioners/329050/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/frequently-asked-email-questions-from-private-practitioners/329050.png","ImageObject",300,407,{"name":92,"@type":93},"WPS_1786070896","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Do states offer reciprocity for clinical social workers when relocating?","Question",{"text":112,"@type":113},"No reciprocity currently exists between states/territories for clinical social workers. Clinical social workers should contact the licensing board of the destination state/territory for specific requirements and application processes.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What should be done when a patient is enrolled in both Medicare and Medicaid and copays were collected?",{"text":117,"@type":113},"Verify the patient’s copayment amount with the Medicaid program, submit a Medicaid claim, and refund any overpayment to the patient. Document the outcome in the patient’s clinical record.",{"name":119,"@type":110,"acceptedAnswer":120},"Can a non-clinical social worker bill Medicare under a clinical social worker’s license?",{"text":121,"@type":113},"Under Medicare, non-clinical social workers are prohibited from billing under another clinical social worker’s license and must be credentialed with Medicare to receive reimbursement, with limited exceptions for specific care center settings.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},329050,1790221399,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52},549768072016,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","PracticePerspectives  \n2I1Ell PracticePerspectives  \nThe National Association of Social Workers  \n750 First Street NE Suite 800  \nWashington, DC 20002-4241  \ns  \nDenise Johnson, LCSW-C Senior Practice Associate[djohnson. nasw@socialworkers. org](djohnson. nasw@socialworkers. org)  \n[SocialWorkers.org](SocialWorkers.org)  \n©2021 National Association of Social Workers. All Rights Reserved.  \nFrequently Asked Email Questions from Private Practitioners  \nThe specialty area of private practice can present a multitude of challenges for newer and even seasoned clinical social workers. The following frequently asked email questions and answers provide general guidance for clinical social workers in this practice setting.  \nQ. I am a clinical social worker who is relocating to another state and was wondering if other states have reciprocity with mine so I can continue to provide services in the state to which I am relocating without having to receive another license.  \nA. There is currently no reciprocity between states/territories for clinical social workers. Clinical social workers should contact the licensing board of the state/territory in which they are interested in being licensed for specific information regarding licensure requirements and application processes. Requirements may vary depending on the state/territory, but social workers are generally able to transfer licensing exam scores from one state/territory to another. Applicants may also  \nbe subject to additional requirements such as completion of state/territory-specific continuing education courses, as well as additional supervision and/or clinical hours. For more information, visit the Association of Social Work Boards [at ](at www.aswb.org)[www.aswb.](at www.aswb.org)[org](at www.aswb.org).  \nQ. I have been providing services to a patient who is enrolled in Medicare and recently learned they also are enrolled in Medicaid. I have been collecting copays since I was under the impression they only participated in Medicare. What should I do?  \nA. Verify the patient’s copayment amount with their Medicaid program. Submit a claim to Medicaid and refund any overpayment of copayment to the patient. Document what occurred in the patient’s clinical record.  \nQ. Will Medicare reimburse non-clinical social workers for services rendered if they bill under a licensed clinical social worker?  \nA. Under Medicare, a non-clinical social worker is prohibited from billing under another clinical social worker’s license and must be credentialed with Medicare to receive reimbursement. Exceptions, however, include  \nThere is currently no reciprocity between states/ territories for clinical social workers. Clinical social workers should contact the licensing board of the state/territory in which they are interested in being licensed for specific information regarding licensure requirements and application  \nprocesses.  \nclinical social workers who work in Rural Health Centers and Federally Qualified Health Centers. Additional information on this subject is available in the Practice Perspectives, Incident To Billing for Clinical Social Workers, at [www.socialworkers.org/LinkClick.aspx?](www.socialworkers.org/LinkClick.aspx?)  [fileticket=sfy4Tzht0Vg%3d&portali](fileticket=sfy4Tzht0Vg%3d&portalid=0)[d](fileticket=sfy4Tzht0Vg%3d&portalid=0)[=0](fileticket=sfy4Tzht0Vg%3d&portalid=0)  \n[Q.](Q. Optum Pay has made changes to its)[ Optum Pay has made changes to its](Q. Optum Pay has made changes to its)[ ](Q. Optum Pay has made changes to its)[payment management system. How will this](payment management system. How will this)[ ](payment management system. How will this)[impact in-network providers?](impact in-network providers?)  \nA. Optum Pay launched a premium version of their payment management system several months ago which charged providers a .5% fee to receive a detailed explanation of benefits. To address concerns raised by clinical social workers and other providers about this new fee, Optum ","cbCaiu7PTNJ6uauX","https://ap.wps.com/l/cbCaiu7PTNJ6uauX","pdf",375978,"English","# Frequently Asked Email Questions from Private Practitioners\n## State licensure reciprocity for clinical social workers\n## Copay overpayments for Medicare and Medicaid dual enrollment\n## Medicare billing limits and credentialing for non-clinical social workers\n## Incident To Billing references and additional resources\n## Optum Pay payment management system changes\n## NASW members’ access to An Hour with Private Practice sessions\n## Obtaining a National Provider Identifier (NPI)\n## Forms commonly used in private practice","[{\"question\":\"Do states offer reciprocity for clinical social workers when relocating?\",\"answer\":\"No reciprocity currently exists between states/territories for clinical social workers. Clinical social workers should contact the licensing board of the destination state/territory for specific requirements and application processes.\"},{\"question\":\"What should be done when a patient is enrolled in both Medicare and Medicaid and copays were collected?\",\"answer\":\"Verify the patient’s copayment amount with the Medicaid program, submit a Medicaid claim, and refund any overpayment to the patient. Document the outcome in the patient’s clinical record.\"},{\"question\":\"Can a non-clinical social worker bill Medicare under a clinical social worker’s license?\",\"answer\":\"Under Medicare, non-clinical social workers are prohibited from billing under another clinical social worker’s license and must be credentialed with Medicare to receive reimbursement, with limited exceptions for specific care center settings.\"}]","Frequently Asked Email Questions from Private Practitioners | PDF",1789982245]