No Surprises Act Washington (click here)

No Surprises Act Federal (click here)

On January 1, 2022, The Centers for Medicare and Medicaid put into effect  The No Surprises Act, a  piece of legislation that  requires providers to give a Good Faith Estimate  of the total cost of nonemergency services.

While I have always provided my best estimate of out-of-pocket costs for the families I serve, I am now required to present a notice of your rights.  Please click on the button above to see a one-page summary of your rights under to new law.

Insurance
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Insurance companies may cover neuropsychological assessment to diagnose neurodevelopmental disorders, such as learning disabilities or ADHD.  They also generally cover these services when related to a medical condition or to support treatment planning for a mental health diagnosis.   These assessments generally address functioning across multiple environments, including  both home and school.   Pre-authorizations are recommended and often required for coverage. I am currently contracted with Regence and Premera.  I am also happy to help with submission of your claim for out-of-network services; however, you will be responsible for any remaining balance. 

Adoption Support
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If you adopted your child through a state agency, therapy and/or  neuropsychological assessment may be covered as part of your agreement.  While the state may not entirely cover the cost of these services, they may cover a substantial portion.  However, the state requires that you use any insurance benefit available before using state funds.  In the past, Adoption Support has been available to assist with the deductible in  high deductible plans.  A pre-authorization is required.   Please advise me if you are planning to utilize this coverage before the initial appointment.

Educational Assessments

​Purely educational assessments are provided without charge at public schools.  These assessments generally  pertain  only to the school environment.    Parents may wish to have children evaluated outside the school system for a variety of reasons.  The wait list at the school may be long, or they may want an independent assessment.  Although I am happy to provide  assessments purely for educational purposes, most insurance companies do not cover these services.