Michigan Mental Health Counselors Association

Michigan Mental Health Counselors Association Licensed Professional Counselors are educated, trained, and licensed to promote mental health and to

Provide a system of Information exchange among mental health counselors through networking, a website, online newsletter, and educational and professional development meetings.

From our contacts at Meridian Medicaid:Effective September 1, 2025, Meridian will implement a prior authorization requir...
07/31/2025

From our contacts at Meridian Medicaid:

Effective September 1, 2025, Meridian will implement a prior authorization requirement for services received from out-of-network Behavioral Health (BH) providers. This change is part of their ongoing efforts to support high-quality, coordinated care and ensure appropriate use of network resources.

Please note - this requirement does not apply to emergency room care, urgent care, or services provided at Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), or Tribal Health Centers (THCs).

You can view the full update on Meridian's website here:

Effective September 1, 2025, Meridian will implement a policy requiring prior authorization for members to receive services from out-of-network Behavioral Health (BH) providers. This policy change is intended to support high-quality, coordinated care, and ensure the appropriate use of network resour...

07/31/2025

FOR IMMEDIATE RELEASE
MMHCA Urges Michigan Legislature to Reject House Bill 4752, Citing Dangers of Conversion Therapy for Minors
LANSING, Mich. – July 30, 2025 – The Michigan Mental Health Counselors' Association (MMHCA), today called on the Michigan Legislature to unequivocally reject House Bill 4752, a proposed amendment to the Mental Health Code that poses a grave threat to the well-being and fundamental human rights of children and adolescents in Michigan.

In 2023, Governor Gretchen Whitmer signed Public Act 117, making Michigan the 22nd state to ban conversion therapy for minors, a practice widely discredited and condemned by leading medical, psychological, and professional organizations globally. House Bill 4752, introduced this week by Rep. Schriver (R-Oxford), seeks to redefine and permit aspects of conversion therapy for minors, undoing years of progress toward protecting our children.

"Allowing any form of conversion therapy for children and adolescents is an unconscionable step backward for Michigan," stated Christopher DeBoer, President of the Michigan Mental Health Counselors' Association. "This bill would expose vulnerable youth, who are still in critical stages of identity development, to dangerous practices proven to cause severe psychological damage, including increased rates of depression, anxiety, self-harm, and even su***de. Our state has a moral imperative to protect its children, not to sanction practices rooted in prejudice and devoid of scientific merit."

The practice is so widely opposed that an attempt to halt the enforcement of PA 117 was struck down by a federal judge earlier this year, citing that the Michigan legislature acted “rationally” by passing the law. HB 4752 undermines the ethical obligations of mental health professionals, who are trained to provide affirming, evidence-based care that supports a young person's authentic identity. Forcing harmful practices on children that attempt to suppress or change their sexual orientation or gender identity goes against best medical and psychological standards.
Michigan must uphold its commitment to the safety, dignity, and mental health of all its residents. House Bill 4752 not only jeopardizes the physical and emotional health of LGBTQ+ youth but also fosters an environment of fear and discrimination within our communities.

We urge all Michigan legislators to stand with medical experts, mental health professionals, and human rights advocates by rejecting House Bill 4752 and instead focusing on the well-being of all Michigan’s children.

# # #
About the Michigan Mental Health Counselors' Association (MMHCA): The Michigan Mental Health Counselors' Association (MMHCA) is dedicated to developing and empowering the mental health counseling profession in Michigan. MMHCA is committed to maintaining the highest standards of ethical practice and professional integrity, advocating for Licensed Professional Counselors (LPCs) and Limited Licensed Professional Counselors (LLPCs) to protect the profession through public policy, training, and education requirements.

mmhcanow.org

Ask Me Anything: Medicare for LPCsFor the rest of the week, I’ll be answering your questions about Medicare, specificall...
07/16/2025

Ask Me Anything: Medicare for LPCs

For the rest of the week, I’ll be answering your questions about Medicare, specifically how it impacts LPCs in private practice or those working in interdisciplinary teams within hospitals and clinics.

This thread is open to all MMHCA members. Feel free to ask about:

Enrollment, including “incident-to” billing and supervision rules

The difference between Medicare and Medicare Advantage

EMDR, trauma billing, and CPT code concerns

Opting in vs. opting out vs. remaining unenrolled

Whether or not to opt in if you're working with a national platform like Headway or Alma, and what they actually handle versus what you must do yourself

Common credentialing mistakes and how to fix them

I’ve also created a Medicare billing infographic set you’re welcome to download and share:
https://acrobat.adobe.com/id/urn:aaid:sc:us:f25a7358-20dd-42a8-a2e1-90153605aa4a

MMHCA members: comment "GUIDE" below, and I’ll DM you a link to my editable 32-page cheat sheet, titled "MMHCA Guidance on Medicare Billing, Policies, and Compliance," which expands on the infographic content.

Post your questions below. Dr. Elizabeth Teklinski, will begin responding today and will stay active in this thread through the end of the week.



In Service,
Your MMHCA Board
www.mmhcanow.org

Still Deciding Whether to Enroll with Medicare? You’re Not Alone.Alejandra, one of our recent Q&A participants, reached ...
06/29/2025

Still Deciding Whether to Enroll with Medicare? You’re Not Alone.
Alejandra, one of our recent Q&A participants, reached out with questions many Michigan LPCs are asking. With permission, here’s a quick breakdown for everyone navigating this new landscape:

1) Do I need to document complexity in every 90837 session?
Yes, but don’t overthink it. For each 60-minute psychotherapy session, Medicare expects:

✔ A brief reference to established complexity (e.g., PTSD, dissociation, EMDR protocol)
✔ Specific interventions used (e.g., bilateral stimulation, cognitive interweaves)
✔ The target issue or memory addressed
✔ Client response and clinical justification for extended time

Example:
“Continued EMDR Phase 4 for childhood trauma. High intensity with emotional flooding and somatic distress. Provided cognitive interweaves. SUDs reduced from 7 to 4. 90837 remains medically necessary for complex PTSD.”

2) Is Medigap the same as supplemental insurance?
Yes. If your client has traditional Medicare plus a United Healthcare plan through AARP, that’s likely a Medigap (supplemental) plan.

✔ You do not need to enroll with United Healthcare
✔ You bill Medicare as usual
✔ Medicare pays 80%, then forwards the balance to the Medigap plan
✔ You receive the remaining 20% directly from the supplemental insurer

Tip: Just be sure you include the client’s secondary payer info on the claim.

3) What’s the difference between Non-Participating and Opt-Out providers?

Non-Participating:
✔ You enroll with Medicare
✔ You can bill Medicare
✔ You’re allowed to charge up to 115% of the Medicare rate
✔ Your clients usually pay you up front, then get reimbursed by Medicare

Opt-Out:
🚫 You sign a legal affidavit (binding for 2 years)
🚫 You cannot bill Medicare at all
🚫 Clients cannot seek reimbursement
✔ You must use private contracts for all Medicare clients

For most practices, Participating status is still the most accessible and client-friendly option, especially if you accept insurance or want referral visibility.

We’re here to support you as Medicare expands to include our profession. Let’s build the future of counseling together.

In Service,
Your MMHCA Board
www.mmhcanow.org

06/25/2025

Legal Updates +

Dear MMHCA Members,

We have three Important Items for you:

✯ Legal Dispute✯

We have been informed by our legal counsel that the court has ruled after the most recent election that we officially are the Board of the Michigan Mental Health Counselors Association (MMHCA). The judge has made his ruling and the case is closed. We are only awaiting the final order and instructions.

We want to thank you, our members, for your support during this difficult time. We would not have been able to make it through these past 18 months without your support. We are truly grateful!

If you have further questions about this, you can attend our Q & A session the evening of June 25 (see below.)

✯ Testimony before the Michigan House✯

This morning (June 25) our Board Members Carol Berger and Dr. Stephanie Burns testified regarding the Counseling Compact before the Michigan House Health Policy Committee. They did an outstanding job and the sponsoring house member made it clear that he will be seeking our input as this moves forward. Please stay tuned!

✯ Member Q & A and Networking ✯

Please join us Wednesday June 25, 8:00pm - 9:00pm) for our regular monthly virtual networking event where you can ask questions of and interact with Board members. Members planning to attend must register for the session in advance.

If you have questions please email us at MMHCABOARD@MMHCANOW.ORG.

In Service,

MMHCA’s Board of Directors

Christopher DeBoer, President
Krystin Sankey, Treasurer
Carol Berger, Secretary
Members at Large:
Dr. Stephanie Burns
Dr. Joy Creel
David Flowers
Dr. Katherine James
Dr. Larry Pfaff
Lauri Rowe
Amy Szaraz
Dr. Elizabeth Teklinski
Steve Wheeler

MMHCA Guidance on Medicare Billing, Policies, and Compliance: Should Michigan LPCs Opt In, Opt Out, or Stay Non-Particip...
06/23/2025

MMHCA Guidance on Medicare Billing, Policies, and Compliance: Should Michigan LPCs Opt In, Opt Out, or Stay Non-Participating?

Now that LPCs, MHCs, and MFTs are officially recognized as Medicare-eligible providers as of January 1, 2024, a critical choice lies ahead:

How should you enroll?
Participating?
Non-Participating?
Opt-Out?

This is not just a credentialing formality, it directly impacts your reimbursement, your clientele, your growth potential, and your legal obligations.

Here’s what every Michigan LPC should know:

Participating Provider (Recommended for Most LPCs)
• Accepts Medicare’s approved amount as full payment
• Clients pay only the 20% coinsurance (often covered by Medigap or Medicaid)
• Claims are processed faster and electronically
• You are listed in Medicare’s official Provider Directory

* Why it matters:
In Michigan, over 2.2 million residents are enrolled in Medicare, with older adults increasingly seeking mental health care. Becoming a participating provider allows you to meet this demand, receive timely reimbursement, and grow your caseload through trusted insurance channels.

** Tip: Being “in-network” with Medicare helps you get on referral lists from hospitals, primary care physicians, and care managers, something cash-pay providers often miss out on.

Non-Participating Provider
• You don’t accept Medicare’s payment as full; you may charge up to 115% of the allowed rate
• Patients must pay up front and seek partial reimbursement from Medicare themselves
• You can still bill Medicare, but you aren’t included in Medicare directories

* Why it matters:
This approach may work for some boutique or transitional practices, but creates more friction for patients—especially older adults unfamiliar with self-submitting claims. Many drop off after the first session due to confusion or cost.

** Tip: If you go this route, provide patients with a clear Good Faith Estimate and help them file CMS-1490s (reimbursement forms) to build trust and avoid early dropout.

Opt-Out Provider
• You must file a formal opt-out affidavit (renewed every 2 years)
• You cannot bill Medicare at all—not even indirectly
• You must have private contracts with all Medicare-eligible patients
• Your name will not appear in Medicare’s directories

*Why it matters:
This route is highly restrictive and often chosen without fully understanding the long-term consequences. You’ll be locked out of Medicare for two years and lose access to the largest payer source for older adults nationwide.

**Tip: Avoid opting out unless you operate a fully cash-based practice that deliberately excludes all insurance.

Quick Facts for LPCs Entering Medicare
• Medicare now reimburses for therapy, assessments, and incident-to care by LPCs and LMFTs
• CMS application processing takes 60–90 days
• 1 in 4 older adults experience anxiety or depression, yet less than half receive any care
• Michigan has significant rural mental health shortages where Medicare-eligible clients are underserved

Want help making the right choice for your practice?

Join MMHCA’s Medicare Q&A + Networking Hour tomorrow and receive our FREE 2025 Medicare Billing Guide Infographic filled with helpfull liks to forns and guidance on step-by-step reimbursement guidelines just for registering.

Wednesday, June 25
12:00 PM – 1:00 PM EST
Free for MMHCA Members
$50 for Non-MMHCA Members (includes the full billing guide infographic)

Engage directly with Board MemberDr. Elizabeth Teklinski, ask your questions, and leave with clear next steps.

>>Register here:
https://us06web.zoom.us/webinar/register/WN_-FurvHpBSi2QVqdbGKLm5w

In Service,

MMHCA’s Board of Directors
Christopher DeBoer, President
Krystin Sankey, Treasurer
Carol Berger, Secretary
Dr. Joy Creel, Member at Large
Dr. Larry Pfaff, Member at Large
Lauri Rowe, Member at Large
Dr. Elizabeth Teklinski, Chair of Education & Outreach

Leading with Purpose, Serving with Heart. Building the MMHCA We Deserve.

www.mmhcanow.org

✯ This Week's June Member Events ✯Dear MMHCA Members,The following are the MMHCA member events for the week of June 16, ...
06/17/2025

✯ This Week's June Member Events ✯

Dear MMHCA Members,

The following are the MMHCA member events for the week of June 16, 2025. Please join us!

✯ In person networking event and discussion - Addressing the Emotional Prison of Masculinity

President Chris DeBoer is hosting this in person meeting this Friday, June 20th, 3 - 6:30pm at the following address: 3970 Heritage Ave., Okemos, MI 48864

We will be looking at the specific relationship that men are taught in relation to their emotional experience. Supplemental materials that can be used to help work/teach boys and men will be available.

Register here: https://forms.gle/EPP254w47S9QRhFA8

✯ Our monthly virtual Consultation Group for Counseling Supervisors will be meeting on Thursday June 19, 12-12:45pm. This group is available as a free benefit for MMHCA Supervisor and Counselor Educator members (this also includes Lifetime members and Senior/Retired members who are supervisors.) Registration information for the Supervisor Consultation Group was sent directly to members last week.

If you have questions about either program, please email us at MMHCABOARD@MMHCANOW.ORG.

In Service,

MMHCA’s Board of Directors

Christopher DeBoer, President
Krystin Sankey, Treasurer
Carol Berger, Secretary
Dr. Joy Creel, Member at Large
Dr. Larry Pfaff, Member at Large
Lauri Rowe, Member at Large
Dr. Elizabeth Teklinski, Chair of Education & Outreach

Please join us for an Open House, networking and discussion of the topic: Emotional Prison of Masculinity, led by Chris DeBoer, LPC The meeting will be 3pm - 6:30pm on Friday, June 20th, at 3970 Heritage Ave Okemos, MI 48864. The first hour will be a meet and greet with snacks! From 4-6:30pm will be...

06/10/2025

Election Results +

Dear MMHCA Members,

The court-ordered special election to determine the Board of Directors of MMHCA, which opened on May 22, 2025 and closed on June 5, 2025, has concluded. Votes were received and tabulated by Steven Ribiat, esq., the neutral Special Master in charge of ensuring a fair election that complied with MMHCA by-laws. With his explicit permission, Mr. Ribiat is allowing us to
share the results of the election with you, the MMHCA membership. The Blundo Group has filed a motion to reopen the election, and the results will not be made official until a ruling on the motion is given. The hearing date for the Blundo Group’s motion is June 20, 2025. With disclaimers out of the way, here are your results!

Ballots returned: 178
The positions of President, Secretary and Treasurer were elected on a head-to-head basis, while the nine at-large seats were elected from a pool of eighteen candidates. The nine at-large candidates with the highest vote totals are elected to the board.

PRESIDENT
R. CHRISTOPER DEBOER – 154 votes
JAMES BLUNDO – 24 votes

SECRETARY
CAROL BERGER – 152 votes
SARA SUE SCHAEFFER – 26 votes

TREASURER
KRYSTIN SANKEY – 152 votes
ROBYN EMDE – 23 votes

AT-LARGE
LARRY PFAFF – 154 votes
JOY CREEL – 152 votes
KATHERINE JAMES – 151 votes
ELIZABETH TEKLINSKI – 151 votes
LAURI ROWE – 147 votes
AMY SZARAZ – 147 votes
DAVID FLOWERS – 147 votes
STEPHANIE BURNS – 147 votes
STEVE WHEELER – 143 votes

IRENE AMETRANO – 26 votes
TRICIA LOTHAMER – 24 votes
DONALD AMIDON – 24 votes
JOSEPH GUAJARDO – 23 votes
JASON VAN NESS – 21 votes
ZEINAB MOUSSA – 21 votes
PATRICK FAIRCLOTH – 18 votes
ANTHONY DEROSE – 16 votes
PATRICK MUNLEY – 16 votes

On behalf of the DeBoer Group, we are immensely grateful for your overwhelming support in this election and we look forward to leading MMHCA into a productive and prosperous future!!

If you have questions, please email us at MMHCABOARD@MMHCANOW.ORG.

In Service,
MMHCA’s Board of Directors
Christopher DeBoer, President
Krystin Sankey, Treasurer
Carol Berger, Secretary
Dr. Joy Creel, Member at Large
Dr. Larry Pfaff, Member at Large
Lauri Rowe, Member at Large
Dr. Elizabeth Teklinski, Chair of Education & Outreach

Michigan Mental Health Counselors Association

🎥 Please watch this short 4-minute video from Treasurer Krystin Sankey, LPC to learn more.https://youtu.be/5QqsRo7bJZw🗳 ...
06/03/2025

🎥 Please watch this short 4-minute video from Treasurer Krystin Sankey, LPC to learn more.
https://youtu.be/5QqsRo7bJZw

🗳 MMHCA Election Reminder, Voting closes Thursday, June 5!

This election is about more than the past—it’s about the kind of future we want to build together. MMHCA belongs to its members, and we believe it’s strongest when we are united, transparent, and focused on supporting counselors across Michigan.

We respectfully ask for your support of the DeBoer Slate (left side of the ballot). These are the leaders who’ve worked hard the past 18 months to serve members, increase transparency, and advocate for our profession.

Remember:
🗓 Submit your ballot by June 5, 2025.
✅ Your voice matters. Together, we move forward. Michigan Mental Health Counselors Association

This is a short message from MMHCA Treasurer Krystin Sankey regarding the financial status and future of MMHCA. Election voting closes June 5.

June 2025 Virtual and In-Person Event Reminders  Following are the MMHCA member events for May 2025. If you are a MMHCA ...
05/30/2025

June 2025 Virtual and In-Person Event Reminders

Following are the MMHCA member events for May 2025. If you are a MMHCA member, please join us!

1. Peer Consultation Group
Our monthly Peer Consultation Group for all members is led by our Treasurer, Krystin Sankey, and available as a free benefit to MMHCA members. This group meets the second Tuesday of each month and will meet next on Tuesday, June 10th, 12-12:45pm.

Those planning to attend must register for the session in advance. We look forward to seeing you there! To register for the Peer Consultation Group click here: https://us02web.zoom.us/meeting/register/tZApceirrD0uG9MWw390p6Yta3vBnWq17dbn

2. Supervisor Consultation Group
Our monthly Consultation Group for Counseling Supervisors meets next on Thursday, June 19th, 12-12:45pm. This group is available as a free benefit only for MMHCA Supervisor and Counselor Educator members and is led by Dr. Larry Pfaff.

Those planning to attend must register for the session in advance and must be a Supervisor Member. To register for the Supervisor Consultation Group click here: https://us02web.zoom.us/meeting/register/tZwscOiqqjMoGdyuhcqzvPQ544H3RE_AfqNF

3. Member Q & A and Networking
Please join our regular monthly virtual networking event where you can also ask questions of and interact with Board members on Wednesday, June 25th, 8:00pm - 9:00pm. This group will be led by our Board members.

Members planning to attend must register for the session in advance. We look forward to meeting and spending time with you! To register for the Member Q & A and Networking click here: https://us02web.zoom.us/meeting/register/i2pHVkFKQ92-3V3XTYsNnw

4. Medicare Q & A
Please join Dr. Elizabeth Teklinski Tuesday, June 24th, 12 - 12:45pm for a Q & A meeting to answer your questions about Medicare. Members planning to attend must register for the session in advance. We look forward to meeting and spending time with you! To register for the Member Q & A and Networking click here: https://sendfox.com/trk/click/q5oe245w/gj6vxe2

5. In person networking and discussion - Addressing the Emotional Prison of Masculinity

Chris DeBoer is hosting this in person meeting Friday, June 20th, 3 - 6:30pm at the following address: 3970 Heritage Ave., Okemos, MI 48864

We will be looking at the specific relationship that men are taught in relation to their emotional experience. Beginning from preschool age, boys are taught lessons about their relationship to emotions which can create substantial struggles in understanding, experiencing and processing their emotions.

This meeting will begin with an hour of networking and discussion, followed by a screening of the 2015 documentary “The Mask You Live In” to get an understanding of male socialization around masculinity and emotions. Followed by a discussion of how to address this with your clients.

Some supplemental materials that can be used to help work/teach boys and men will be available. Looking forward to spending time with you at this event! Registration will be sent to members soon.

If you have questions please email us at MMHCABOARD@MMHCANOW.ORG.

In Service,
MMHCA’s Board of Directors
Christopher DeBoer, President
Krystin Sankey, Treasurer
Carol Berger, Secretary
Dr. Joy Creel, Member at Large
Dr. Larry Pfaff, Member at Large
Lauri Rowe, Member at Large
Dr. Elizabeth Teklinski, Chair of Education & Outreach

Clarification from Treasurer, Krystin SankeyDear Members,As Treasurer of MMHCA, I want to clarify the financial report t...
05/30/2025

Clarification from Treasurer, Krystin Sankey

Dear Members,
As Treasurer of MMHCA, I want to clarify the financial report that was referenced in a recent campaign communication.

It is accurate that the court-appointed evaluator found no evidence of financial impropriety or fraud on either side of the organizational divide. That is an important and welcome finding, and I fully support setting the record straight on that point.

However, it's misleading to suggest that the report addresses or resolves the deeper concerns that led to this conflict. From the beginning, the questions raised by board members were not about fraud- they were about transparency, accountability, and financial sustainability.

Specifically, concerns included:
- The sustainability of the budget when paying salaries and considering salary increases, without clear communication about how those would be funded.
- A refusal to provide the Executive Director’s contract when repeatedly requested by board members, making it difficult to evaluate whether duties aligned with compensation.
- Proposals to raise membership dues to cover expenses, without any plan or explanation of what added value would be offered to members in return.
- Unaccounted expenses and missing documentation for credit card charges. Requests for transparency went unanswered.
- Two recurring monthly transfers to an unknown account that ceased without explanation once questions were raised.
- As the Appointed Treasurer, I was not given access to the organization’s bank account or included as a signer, despite being legally and ethically responsible for financial oversight.

These issues highlighted a significant lack of financial controls, including the need for:
- Clear procedures for approval of charges
- Full transparency of all bank and credit card statements not only to the board, but to MMHCA members upon request
- Best practices regarding signers and access to financial accounts, including ensuring that the Treasurer has full visibility and oversight

These are not political talking points, they are standard practices for sound nonprofit governance. They ensure that members’ dues are managed with integrity, that board members are equipped to fulfill their fiduciary duties, and that the organization can grow on a stable and ethical foundation.

Since taking on this role, I’ve worked to bring structure, clarity, and accountability to MMHCA’s financial operations. We’ve transitioned from a deficit to a surplus, improved our reporting systems, and prioritized transparency.

This election isn’t about revisiting the past, it’s about how we move forward. I believe that MMHCA deserves leadership that is committed not just to good intentions, but to good governance.

Thank you for taking the time to understand the full picture.

Sincerely,
Krystin Sankey, MS, LPC
Treasurer, MMHCA

Ballots were emailed 5/22/2025 at 8pm. Ballots are due by 6/5/2025.

Address

PO Box 1541, Owosso
Rochester, MI
48867

Opening Hours

Monday 8am - 7pm
Tuesday 8am - 5pm
Wednesday 8am - 7pm
Thursday 9am - 5pm
Friday 8am - 5pm
Saturday 8am - 2pm
Sunday 8am - 7pm

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MMHCA led the way with you to pass HB4325/PA96. Unite with us as the protectors of our profession. MMHCA is your #1 Advocate!

The LPC Michigan Miracle of 2019. How MMHCA made it happen!

By James Blundo, MA, LPC, MMHCA Executive Director

Michigan has a new law that protects and strengthens our LPC license.

House Bill 4325 passed both the Michigan House and Senate by 100% of the legislators and was signed into law by the Governor on October 29th as Public Act 96 of 2019.