If a resident is having emotional and/or behavioral difficulties that last for two weeks or longer, it is likely he or she could benefit from a referral to SLC. For example, residents who are sad and tearful nearly every day or those who are irritable, negative, demanding, and critical could be suffering from depression and would benefit from treatment. Those who are clearly anxious or fearful should be referred. Others who could benefit would be those who have not been able to adjust to living in the facility, those who have experienced multiple losses, those who have not been able to adjust to their illness, and especially those who make hopeless or suicidal statements. Residents who engage in challenging behavior are certainly good candidates for treatment as well. SLC will train staff members in identifying residents who may benefit from psychological services.
After identifying a resident who would benefit from our services, and before we begin to see him or her, we need insurance information, a doctor's order, and a signed consent. Facility staff will receive a thorough orientation about what is needed and how to complete a referral.
The information sent to us will be processed and insurance coverage verified by our office staff. We contact our clinician who serves your facility and he or she will assess the resident and make recommendations about further treatment, as well as steps the facility can take.
SLC bills Medicare Part B and other insurance companies directly from our office. We have working agreements with most managed care organizations. Medicare and/or other insurance provide coverage for our services; however, there may be some cost to the family in the form of deductibles and co-payments as dictated by law. If Medicaid is the only insurance in effect, the facility may choose to pay for mental health services for the resident. The facility administrator must offer written prior authorization in this situation. Facility staff, residents, and families are welcome to contact our office for more information about our billing procedures and to discuss special circumstances.
Our clinician will generally come to your facility on the same day each week, depending on your need. He or she will be in personal contact with members of your staff and/or may leave a listing of the residents seen that day. Documentation of services provided is left in the resident's chart at the end of the day.
During business hours a clinician is available for telephone consultation by contacting our office. After hours and on weekends, we have a clinician on call 24 hours via pager.
We have working relationships with many psychiatrists throughout the state. While SLC does not directly employ psychiatrists, we would be happy to suggest some that you may contact. Our clinical staff will consult with your facility psychiatrist as needed to provide comprehensive care.
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