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SUBMIT TO: Cenpatico Single Case Agreements FAX 866.374.1576 SINGLE CASE AGREEMENTS FOR BEHAVIORAL HEALTH SERVICES What is a Single Case Agreement? On occasion, Cenpatico grants exceptions, called.

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What is a Single Case Agreement? Sometimes referred to as SCA, Single Case Agreement is essentially a contract between an insurance company and an out-of-network provider to ensure that a client doesn't have to change providers. It's especially important for clients who need extended long-term treatment or therapy.

A gap exception will honor your clinician's office rates and reimburse 100% of the remaining costs after patient's in-network rate responsibility. Single Case Agreement: This is a one-time contract your insurance will set up with an out-of-network provider so you can see this provider at your in-network benefit level.

SCAs are possible for some Medicare plans, but it may be more difficult to obtain a SCA with Medicare than private plans or Medicaid plans - the best first step to request a SCA for Medicaid and Medicare is to request a behavioral health case manager (or Medicaid/Medicare may refer to case manager as case coordinators)

What is a Single Case Agreement? Also known as SCAs, Single Case Agreements are contracts between an insurance company and an out-of-network provider. These types of contracts typically cover a specific client receiving a service for a designated length of time at an agreed-upon rate.

A single case agreement is designed to meet the essential treatment or therapy needs of the patient and the cost benefits to the insurance company without having to change to a different in-network provider. To help guide the negotiation process the following criteria typically need to be met.

What is a letter of agreement? This type of contract documents a legal agreement between two parties. It puts the terms of the agreement in writing as a means of resolving later disputes that may arise.

Subsidiary Controlled Affiliation (SCA) | NAIC.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232