Marriage & Family Therapy Credentialing Services
Marriage and Family Therapists (LMFTs) provide specialized relational and systems-based therapy. Credentialing LMFTs requires attention to the specific payer policies around independent billing, as some health plans historically did not credential MFTs as independent providers. Medicare began recognizing MFTs for independent billing starting in 2024, significantly expanding credentialing opportunities. The AAMFT provides professional standards, and state licensure requirements typically include a master's degree in MFT, 2,000-4,000 supervised clinical hours, and passage of a national or state exam.
Board Certification
Certifying Body: American Association for Marriage and Family Therapy (AAMFT)
Typical Credentialing Timeline
60-90 days
Average time from application to approval
Credentialing Challenges for Marriage & Family Therapy
- Not all payers credential MFTs independently; some require billing under physician supervision
- Couple and family therapy CPT codes have different reimbursement structures
- State-level scope of practice for MFTs varies in what diagnoses they can treat
Frequently Asked Questions
Can MFTs now bill Medicare independently?
Yes. Starting January 1, 2024, Licensed Marriage and Family Therapists can independently bill Medicare. This is a significant change that requires new Medicare enrollment for MFTs who were not previously enrolled.
Do all commercial payers credential MFTs?
Most major commercial payers now credential LMFTs independently. Some smaller or regional plans may still require MFTs to bill under a physician or psychologist's supervision.
What is the difference between LMFT and MFT?
LMFT indicates full independent licensure. MFT without the L prefix may indicate a pre-licensed or associate-level therapist who has not yet completed supervised hours requirements.
Related Specialties
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Reviewed by Arctic Health Team , Credentialing Specialists
Last reviewed: April 2026
Information on this page reflects our experience as of April 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.