05/20/2026
Another change impacting mental health care access is coming… and providers and clients deserve to know about it.
Starting July 15th, Alma is reportedly changing reimbursement practices related to CPT code 90837, the billing code used for psychotherapy sessions lasting 53 minutes or longer.
Instead, providers will reportedly only be reimbursed at the 90834 rate, which is tied to shorter sessions, essentially around the 45-minute range.
Let’s really think about what this means.
Insurance companies and large healthcare platforms continue talking about the importance of mental health, trauma treatment, su***de prevention, crisis support, and access to care… while simultaneously creating more pressure for providers to shorten sessions and squeeze care into smaller boxes.
Trauma work does not always fit neatly into 45 minutes. Crisis sessions do not magically wrap up because the clock says so. Clients processing grief, PTSD, suicidal thoughts, first responder trauma, childhood abuse, or major life stressors are not “one size fits all.”
Yet once again, decisions are being made by corporations and reimbursement structures instead of by the trained medical and mental health professionals actually sitting in the room with clients.
This places providers in an incredibly difficult position:
• Cut sessions shorter than clinically appropriate
• Work longer without fair reimbursement
• Or stop accepting certain insurance options altogether
And who ultimately feels the impact? Clients.
Especially higher-acuity clients who often need more time, more support, and more individualized care.
Mental health care should not be reduced to productivity quotas and reimbursement games.
Clinical decisions should remain between clients and their licensed providers, not dictated by corporations trying to cut costs.
🎥 I break down more of what this means in the attached video and why providers across the country are increasingly concerned about where mental health care is headed.
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