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The National Voice of Clinical Social Work 

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The Aware Advocate - November 2022

November 21, 2022 10:43 AM | Anonymous member (Administrator)

The Aware Advocate is an occasional summary of issues that affect LCSWs. Comments and updates are courtesy of CSWA Director of Policy and Practice, Laura Groshong, LICSW.

There are many issues affecting clinical social workers at this time, some of which are still being determined. This summary will address the recent issues that members have had questions about, even if the outcomes are not clear.

National Elections

At this point, the election results for the House of Representatives are still not complete. The Senate will remain in Democratic hands. This means there will be a better chance that the two issues which CSWA has been working on for LCSWs, i.e., improving the CMS RVU rates for Medicare and getting student loan forgiveness for CSWs will have a better chance of passage.

CMS Coverage of Telemental Health

The bills which are addressing telemental health will continue to be developed but are not clearly defined yet.

The current policy of CMS is that coverage of psychotherapy through videoconferencing and audio only will continue for 151 days after the end of the Public Health Emergency (PHE). There is no imminent attempt to end the PHE, as COVID continues to mutate and is still a major problem in many areas. It is unlikely that the PHE will end before next spring at the earliest.


Many CSWA members have been receiving requests to join the BetterHelp panel, as well as being bombarded with ads to use BetterHelp clinicians on NPR, in magazines, on TV, and just about everywhere. While the short-lived partnership with CareDash that BetterHelp formed last summer has ended, there have been other problems with the way that BetterHelp provides services. Dr. Marlene Maheu, the Executive Director of Telebehavioral Health Institute, has found that BetterHelp is a multi-billion dollar company despite putting most of the burden of liability on the clinician (TBHI Newsletter, 11/22).

Social Work Compact

After a few months of little activity on the Compact – which would allow participating clinicians to be automatically licensed in other states – it appears that the draft bill that will need to be passed in any state that wants to participate will be ready by the beginning of 2023! I will be sending you the bill and some information on how to get the bill through state legislatures.

I hope you all have a wonderful holiday season!

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