Treatment FAQ

how to pay for residential treatment

by Andres Ledner MD Published 2 years ago Updated 2 years ago
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There are several ways residential treatment is funded:

  • Insurance. Because private insurance will eventually run out, children who are privately insured will need to apply for Medicaid. ...
  • Court systems. If charges are pressed, a judge can order placement in a residential setting.
  • Foster care. ...
  • Relinquishment of Parental Rights or Termination of Parental Rights (TPR). ...
  • School districts. ...
  • Private pay. ...

Contact your insurance company directly. Let them now what your child's needs are and what they will cover. It is possible they will cover all of the residential treatment or just a portion of it. Once you know what they will pay for then you have a better idea of what you need to come up with on your own.

Full Answer

How do you fund residential treatment?

Jan 13, 2022 · There are often payment options available in house at a particular treatment facility. Contact them directly and ask to talk to someone in charge of that end of things. Keep in mind that the better the program is the more expensive it may be. The duration of time that your child will be there is also going to influence the overall cost.

What is residential treatment?

Financial assistance — many treatment programs have scholarship programs. Though funds are often limited, these must be qualified for but these funds can be used to pay part of the monthly tuition so that you don’t have to. Credit cards – most programs are equipped to accept credit card payments. Get Your Daughter the Help She Needs

How does a residential treatment center for children work?

If your child is struggling due to the fact that they were a victim of a crime, there are funds available to help you pay for therapeutic boarding schools and residential treatment in every state. In some cases, the entire tuition or a majority of the cost can be covered. You must apply for assistance in the state in which the crime was committed.

Does insurance cover residential treatment centers?

Mar 05, 2021 · Funding Available for Residential Treatment for Children and Youth. Here are ways that residential treatment is paid for. Medicaid. Medicaid is the primary way many children receive residential treatment. A child may qualify for Medicaid if the parents’ income is below a certain threshold, if they child is in foster care or as part of an adoption subsidy package for a child …

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Start With What You Have

We recommend that you first look at the assets you have right in front of you. If you have wealth and you can utilize that wealth to pay for a therapeutic program, begin the process of letting it go now so that it will be easier for you to do so when it comes time.

Move Outward, Look to Your Close Friends and Family

We talk to so many parents who are great parents but feel lost as to how to help their child. Many families harbor great shame about the fact that their teenager is struggling, and so they are not willing to ask for help from others. This is a humbling experience for many, so we encourage you to embrace this process.

Still Need Help? Ask Your Local Community

If your assets and your family’s help are still not enough, you can then move toward your local community to ask for help. Write a letter of support and ask your friends if they know anyone who might be interested in helping. You will be surprised at the resources you may find in the process.

Apply for a Behavioral Health Loan

If you have exhausted all of the above options, your last resort may be applying for a behavioral health loan.

Do You Have Health Insurance?

If your insurance covers mental and behavioral health, some programs can bill insurance for Out of Network Benefits, which will cover the cost of therapy only. We encourage you to look at our article titled, "Can My Health Insurance Policy Help Me Pay for Residential or Therapeutic Boarding School?".

Does Your Child Have an IEP?

If your child has an IEP States are required by law to provide funding if a case can be made that the school setting will not be enough to meet their IEP. See wrightslaw.com for more information.

Was Your Child Adopted?

The Adoptive Families Coalition welcomes and helps families with post-adoption challenges. They offer a unique plan to assist in meeting the high cost of therapeutic boarding schools, residential treatment centers, and wilderness therapy programs.

What are the grants for mental health?

While there are some grants available for mental health services, such as these SAMHSA grants and NIMH funding grants, typically these grants are for organizations who provide mental health care to the community, not individuals.

Does Blue Cross cover residential care?

Insurance companies (such as Blue Cross, Aetna, Cinga, and many others) typically cover a portion of the cost of residential treatment. This may mean that families are required to pay a deductible and then a percentage of the cost of care thereafter.

Can you relinquish parental rights?

Depending on the state, relinquishment is not easy to obtain. Often another adoptive family needs to be arranged before a judge will grant relinquishment.

Can you get a subsidy for adoption?

If your child was adopted from foster care, you might receive an adoption subsidy. Part of these subsidy funds can be used to pay for a child’s care. If the funds are insufficent to pay for needed services (as they often are), you can request that the funds be re-examined. Some states also have additional funding for higher-level services for special needs children who are adopted from foster care.

Can a school district pay for out of district placement?

Although rare, it is possible for a school district to pay for an out-of-district placement if parents can prove this is the least restrictive option and no in-district option is suitable to meet the needs of the child.

How long does a resident have to pay deductible?

The resident has no deductible or health insurance rates from the first to the twentieth day; however, the resident has a health insurance balance from the twenty-first to the hundredth day. This number is equivalent to one-eighth of the annual hospital deductible and is measured per year.

What is Medicare and Medicaid?

Medicare and Medicaid include a large number of health maintenance organisations (HMOs) and other organised care plans. These health-care programmes also have benefits beyond those provided by Medicare and Medicaid, and they are skilled at “coordinating” a member’s health-care needs.

What is substance abuse treatment?

Substance abuse treatment services are one of the 10 “ elements of essential health benefits ” included under the Affordable Care Act. This means that all health insurance policies that are purchased on the Health Insurance Exchanges or that are provided by Medicaid must cover substance abuse treatment services.

Does Medicare cover non-Medicare residents?

Even if the treatment required meets the medical requirements for coverage, Medicare law prohibits reimbursement for residents in non-Medicare parts of the facility. As a result, in order for Medicare to pay, the resident must be put in a Medicare-certified portion.

Does insurance cover drug rehab?

The good news is that there are a number of ways to cover the cost of inpatient drug rehab including health insurance. Families almost always used a combination of options in order to pay the whole bill. Here are the most common sources utilized to pay for drug rehab.

Can I get a discount for rehab?

If you can get the funds to pay it (health insurance) off in full, do so. If you are willing to pay, some residential rehab facilities will give you a discount.When approached to subsidise the cost of a residential treatment facility, most health insurance providers would look for a few specific things.

Can extended family members contribute to treatment?

Often extended family members are willing to contribute to the cause of treatment by health insurance . In some cases, it may be appropriate to create a formal contract for the loan, providing how and when the money will be paid back – perhaps by the addicted person once they have completed recovery.

How to get insurance intervention for a teen?

Requesting insurance intervention. It’s recommended that you start by writing a letter to your provider recommending that your teen be admitted to a treatment center. Be sure to include copies of tests and assessments that have been completed by medical professionals as well as official recommendations for admittance.

How long does it take for a biopsychosocial assessment to be performed?

A biopsychosocial intake (multidisciplinary assessment) is scheduled to be performed within days after admission. Your teen will have 24 hour access to medical care and will have access to onsite nursing. A physical and urine screening will be performed.

How often does a discharge plan for a teen work?

Weekly meetings about medication have been scheduled with a doctor. Your teen will receive individual therapy once a week ( at least).

How long does it take for an admission to be approved?

After these steps have been taken, call your insurance company every day asking for updates. It shouldn’t take more than 5-7 days but history has shown that the more persistent you are, the better your chances are of getting financial help.

Do insurance providers have to pay for medical treatment?

This is important to know because, depending on the state, insurance providers are required to pay for any treatment that is considered medically necessary by a doctor. This usually includes conditions categorized as severe mental and/or physical illnesses.

What is the highest level of care for children?

Residential treatment is the highest level of care and so reserved for children who are most in need. Mental health placements typically have a higher success rate while placements through the juvenile justice system typically have poor success rates and high recidivism rates.

What does it mean when a child is placed in residential treatment?

When a child is placed in residential treatment through the state office of mental health, this means a diagnosis of a psychiatric disorder is in place and it’s been determined that the child needs the highest level of care.

How is residential treatment funded?

Because private insurance will eventually run out, children who are privately insured will need to apply for Medicaid. With a mental health diagnosis, a child can be placed in a residential setting if he meets certain strict criteria. Court systems.

What is residential treatment?

Residential treatment is when a child lives outside of the home situation 24/7 and lives in a controlled facility environment. Typically a child who needs this level of support has extreme behavior issues such as rage, aggression, acting out sexually, violence, crime, or very serious mental health issues.

Why do children live in cottages?

Sometimes this is determined by appropriate behavior. Children often live within cottages or smaller units in order to promote a family-type environment. Most facilities include a strict behavior system with positive reinforcement, rewards, and consequences for negative behaviors.

Does TRP end parent-child relationship?

Depending on the system in your state, you might consider voluntary foster care placement or even TRP, which ends the parent-child relationship legally. In some states, these steps are required in order to get the necessary funding for residential treatment, but the parent-child relationship remains in place.

Can you adopt a child in a residential facility?

No one gives birth or adopts a child with the hope that he or she will need residential treatment someday. Coming to the conclusion that your child needs care in a facility is an incredibly difficult, painful process for any parent. These decisions are not made lightly.

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