This training outlines different types of cognitive impairment often found among older adults. Given a common understanding that mental health services for persons with “dementia” or cognitive impairment cannot be billed for, the presenter will describe Medi-Cal regulations regarding insurance billing for mental health services for persons with cognitive impairment who also have a co-occurring mental illness. This presentation will describe common emotional and other internal experiences of persons with cognitive impairment. There will be a discussion of psychotherapeutic and other mental health interventions that have demonstrated effectiveness in helping older adults, including adjustments that can be made to interventions during a global pandemic.