Billing & Insurance Information

The Program for the Advancement of Trauma Healing (PATH) is committed to making trauma-responsive clinical and forensic services accessible. Below you'll find information about how billing works for our clinical and forensic services.

All services at PATH are provided by advanced doctoral trainees in clinical psychology, under the direct clinical and/or forensic supervision of a licensed psychologist. The supervising psychologist maintains full professional responsibility for every case, reviews and co-signs all reports and treatment records, and is available to clients, referral sources, attorneys, and courts as needed. This supervision structure is disclosed in our informed consent documents at the start of every case.

Commercial Insurance

PATH is currently credentialed with the following commercial insurance plans:

• Aetna
• Regence
• Premera
• Kaiser PPO

If your plan isn't listed, you may still be able to use out-of-network benefits. We're happy to provide a superbill (an itemized receipt with diagnosis and procedure codes) that you can submit to your insurer for possible reimbursement. We recommend contacting your insurance company directly to ask about your out-of-network mental health benefits, deductible, and reimbursement rate before your first appointment.

Washington Apple Health (Medicaid)

PATH accepts select Washington Apple Health (Medicaid) managed care plans. PATH is currently credentialed with:

• Community Health Plan of Washington (CHPW)
• Molina Healthcare of Washington

A few things to know about Apple Health billing:

• Clients enrolled in Apple Health managed care generally have no out-of-pocket cost for covered, medically necessary behavioral health services received from an in-network provider.
• Some plans require a referral or prior authorization for certain services — our administrative team will help verify your benefits and any authorization requirements before services begin.
• Coverage and network status can change; we verify eligibility and benefits at intake and periodically throughout treatment.
• If you have Apple Health through a plan we are not yet credentialed with, please contact us — we may be able to help you find an in-network alternative or discuss other options.

Self-Pay & Sliding Scale

For clients without insurance coverage, who prefer not to use insurance, or whose plan we do not accept, PATH offers self-pay rates and a limited number of sliding-scale openings based on financial need. Please send a message to intakes@healwithpath.org for additional information.

Forensic Evaluation Services: Civil, Criminal, & Family Law

PATH's forensic evaluation services are not billed to health insurance. This is standard practice across the forensic psychology field: forensic evaluations are conducted to answer a legal question for a court, attorney, or other retaining party — they are not "medically necessary treatment," and insurers do not cover them. Forensic services are billed directly to the retaining party on a private-pay or retainer basis.

PATH provides forensic psychological evaluation services in the following areas:

• Civil litigation — including personal injury, psychological damages, disability, and related civil matters
• Criminal matters — including competency evaluations, criminal mitigation, and risk assessment, conducted for defense counsel, prosecution, or the court
• Family law — PATH does not conduct custody evaluations; however, can provide mental health evaluations for those in family law matters

As with our clinical services, forensic evaluations at PATH are conducted by advanced doctoral trainees under the direct supervision of a licensed psychologist, who reviews the evaluation methodology, findings, and final report, and who co-signs the report and retains ultimate professional and legal responsibility for the opinions rendered. This supervision structure is disclosed to all retaining parties, evaluees, and the court as applicable at the outset of the evaluation.

How Forensic Billing Works

• Flat fee. All evaluations will be completed for an agreed upon flat fee. This fee is determined based on the nature and complexity of the case.
• Retainer required. A payment of 1/2 of the agreed upon fee must be submitted to begin the evaluation and schedule the first appointment.
• Retaining party is responsible for payment. Depending on the matter, the retaining party may be the attorney, the court, or an individual party. Fee responsibility is specified in the engagement agreement before work begins.
• Testimony and travel are billed separately from the fee to complete the evaluation, at rates specified in the engagement agreement.

Questions About Billing?

Our administrative team can help verify your insurance benefits, discuss self-pay and sliding-scale options, or provide fee information for a forensic evaluation.
Contact: 425 364-6855| intakes@healwithpath.org

This page is for general informational purposes and does not constitute a guarantee of coverage, payment, or specific fees. Insurance benefits, network status, and Medicaid managed care contracts are subject to change and are verified on a case-by-case basis.