Mental Health and Substance Use Disorder Coverage Requirements with Commercial Health Plans

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* 1. Name

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* 2. Email

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* 3. Organization

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* 4. Does your contracted commercial health plan prohibit associates from providing and billing services? If yes, please copy/paste in the box below the language from your contract or health plan’s policy that prohibits services being provided and billed by associates. If you prefer to upload a copy of your contract, you can do so in question number 5.

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* 5. Please attach your contract as a PDF.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 6. Does your contracted commercial health plan prohibit trainees from providing and billing services? If yes, please copy/paste in the box below the language from your contract or health plan’s policy that prohibits services being provided and billed by trainees. If you prefer to upload a copy of your contract, you can do so in question number 7.

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* 7. Please attach your contract as a PDF.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 8. If your contracted commercial health plan denied reimbursement for services rendered by associates, did you submit a provider complaint with your plan? What was plan’s response and was this ever raised with DMHC? If yes, please share more about the outcome.

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* 9. If your contracted commercial health plan denied reimbursement for services rendered by trainees, did you submit a provider complaint with your plan? What was plan’s response and was this ever raised with DMHC? If yes, please share more about the outcome.