Assessment

  • Assessment with Cauley
  • Recommends in-person
  • Probably partial hospitalization
  • They offer financial assistance
    • Check with him to see if they can send financial assistance forms
    • Offer payment plans
  • Final recommendation- PHP
  • 901 Boren Ave, ste 802
  • M-F 9-4:15, Weekend 9:30-3:30
  • Psychiatric will make diagnoses and prescribe medication
  • Will reach out to Travis and let him know we are interested in financial assistance

Financials

Insurance coverage

  • Spoke to Rich 2022-07-06 3:36pm
  • Listed as “Pathlight Behavioral Health”
  • $6.57 remaining for deductible
  • $4,767 remaining out of pocket
  • I pay $6.57 and then 40% co-insurance until we hit out of pocket max
  • Authorization is required
    • Provider handles authorization
  • PCP referral not required

Financial Aid

  • Total out of pocket cost for PHP: $7,280.64
  • 12 month, no interest payment plan
  • $606.72/month
  • We do not qualify

Residential program

  • Age range: 8-17
    • mostly teens
  • They are running both other programs
  • She didn’t make the decision. Psychiatrist at the unit made the call.
    • Speculative reasons: recency of suicidal ideation and intent, flight risk
    • 24/7 care will help stabilize that
    • PHP offers too many additional hours without clinical support
  • We can advocate for the level of care we want, but the clinical team makes the final call what they feel is appropriate.
  • Can graduate to PHP program
    • Residential is typically 4-6 weeks
    • Encourage PHP step-down after residential
    • Another 4-6 weeks in PHP
    • Typically shorter in residential (4 weeks) and longer in PHP (6 weeks)
  • Shouldn’t come up that insurance cuts her and she continues in the same level of care. They monitor what insurance will pay, and insurance notifies them.
  • They do have a few single rooms
    • greater chance of shared
    • anyone can request
    • put individuals around the same age, same gender
    • doors are cracked open
    • nursing staff completes scheduled and random checks
    • don’t require mask wearing while sleeping but keep beds 6 feet apart
    • will ask if we can make participation contingent on single room
  • No cell phones permitted
    • Can use phone to call during visitation time
    • Can call from approved list
    • Letter writing always OK
  • Can only guarantee one in-person visitation per week
    • Cassandra will confirm with clinic
  • Community passes
    • Less common with Covid
    • Not happening the first couple of weeks
    • Only with family (dinner pass, graduation)
    • Can request a pass for a family dinner, for example
  • Psychiatrist will do an assessment on admission
    • will discuss with parents along the way
    • can do a diagnosis and medication
  • Will get back to me within a day on follow-up items