Quebec Mental Health Billing Guide 2026
Quebec mental health billing for psychologists, psychotherapists, and social workers. Covers RAMQ, private insurance, CISSS programs, and Law 25.
Key Takeaways
- RAMQ covers mental health services provided by physicians (psychiatrists and GPs) only.
- The title 'psychotherapist' is regulated under a specific permit system in Quebec.
- Law 25 imposes strict privacy and data management obligations on private practices.
- Public mental health services are organized through regional CISSS and CIUSSS networks.
RAMQ coverage, private insurance billing, CISSS/CIUSSS public programs, and Law 25 compliance, a complete reference for Quebec psychologists, psychotherapists (PT), and social workers (TS).
Who Bills What in Quebec
Quebec has a uniquely regulated mental health landscape centered on the psychotherapy permit system.
| Provider Type | Regulatory Body | RAMQ? | Private Insurance? | PT Permit Needed? |
|---|---|---|---|---|
| Psychiatrist | CMQ | Yes | Rarely | No (exempt) |
| General Practitioner | CMQ | Yes | Rarely | No (exempt) |
| Psychologist (psy) | OPQ | No | Yes | Included |
| Social Worker (TS) | OTSTCFQ | No | Yes | Yes (for psychotherapy) |
| Nurse (inf.) | OIIQ | No | Varies | Yes (for psychotherapy) |
RAMQ Coverage: Psychiatrists and GPs
RAMQ covers physician-provided mental health services. Psychiatrists bill using categories such as:
- Psychiatric Consultation: Initial detailed evaluation.
- Individual Psychotherapy: Time-based sessions by a psychiatrist.
- GP Mental Health Visit: GP-managed assessment.
Quebec's Psychotherapy Permit System
Only individuals with an OPQ-issued psychotherapy permit may legally practice and use the title "psychotherapist."
- Holders: Psychologists and physicians (automatic); social workers, nurses, and others with required training (permit required).
- Restrictions: Without a permit, services cannot be called "psychotherapy," which affects insurance reimbursement.
Law 25 Compliance
Quebec's Law 25 (modernized privacy legislation) requires private practices to:
- Designate a Privacy Officer.
- Publish a Privacy Policy.
- Obtain Written Consent for data collection.
- Conduct Privacy Impact Assessments (PIAs) for cross-border data transfers (e.g., using US-hosted software).
Public Programs: CISSS/CIUSSS Services
- CLSC Mental Health Services: Community-based assessments and support.
- Info-Social (811, option 2): 24/7 psychosocial support and crisis intervention.
- Crisis Intervention Services: Regional centers and mobile teams.
- CPS (Centre de prévention du suicide): 24/7 suicide prevention support.
Frequently Asked Questions
Does RAMQ cover therapy in Quebec?
RAMQ covers services provided by physicians (psychiatrists and GPs). It does NOT cover psychologists or licensed psychotherapists in private practice.
Who can be a licensed psychotherapist in Quebec?
Licensed psychotherapists include psychologists, physicians, and other professionals (social workers, nurses) who hold an OPQ-issued psychotherapy permit.
What is Law 25?
Law 25 is Quebec's privacy law updating obligations for handling personal data, including requirements for privacy policies, consent, and incident reporting.
What documentation is needed for insurance billing?
Receipts must include the practitioner's registration and permit numbers, client details, session duration, and service type (typically in French).