Clear Expectations for Crisis-Lite Care

Emergent Mental Health Services is committed to making Crisis-Lite, access-focused mental health care understandable, transparent, and accessible. This page explains insurance coverage, payment expectations, and attendance policies so clients and referral partners know what to expect before services begin.

Our services are short-term, stabilization-focused, and outpatient. Coverage and costs depend on your insurance plan, eligibility, and the specific services provided.

Insurance Plans We Accept

AHCCCS (Arizona Medicaid)

We accept AHCCCS for eligible members.

Covered services may include:

• Skills-based group services
• Peer support services
• Case management
• Crisis-focused assessments and stabilization
• Medication or psychiatric services, when clinically appropriate

Coverage is determined by your AHCCCS plan, eligibility, and authorization requirements. Not all services are covered in all situations. Our team can assist with benefit verification when possible.

Medicare

We accept Medicare for eligible adults.

Medicare may cover certain outpatient behavioral health services provided within our Crisis-Lite model. Coverage varies by service type and medical necessity. Eligibility and covered services are reviewed prior to scheduling when possible.

TRICARE

We accept TRICARE for eligible service members, veterans, and dependents.

Covered services must align with TRICARE guidelines. Authorization and coverage requirements vary by plan.

Private Insurance

We work with many private insurance plans. Coverage varies by carrier and individual plan.

Before services begin, we attempt to:

• Verify eligibility
• Review covered services
• Identify potential copays or client responsibility

Insurance verification is not a guarantee of payment. Final coverage determinations are made by the insurer.

Copays & Client Financial Responsibility

If your insurance plan includes a copay, coinsurance, or deductible, payment is due at the time of service for both in-person and telehealth services.

This applies to:

• Group services
• Individual Crisis-Lite support
• Peer support services
• Case management services
• Medication or psychiatric services

Copay amounts are set by your insurance plan. When possible, we will review expected copays in advance; however, clients remain responsible for all charges determined by their insurer.

Failure to resolve copays or balances may result in:

• Delayed or limited scheduling
• Rescheduling of non-urgent services
• Conversion to self-pay rates where permitted

Self-Pay Options

For individuals without insurance or for services not covered by insurance, self-pay options may be available.

Self-pay services are:

• Short-term
• Crisis-Lite in nature
• Focused on stabilization, skill-building, and next-step planning

Please contact our office for current rates and availability.

Missed Appointment & Late Cancellation Policy

To ensure timely access to services for all clients, the following attendance expectations apply.

Cancellations

• Clients are asked to provide at least 24 hours’ notice to cancel or reschedule an appointment.

Missed Appointments

• A missed appointment is defined as not attending a scheduled service without notice.
• A late cancellation is defined as canceling with less than 24 hours’ notice.

Billing Rules

• AHCCCS and other Medicaid plans do not allow billing for missed or late-canceled appointments.
• Missed or late-canceled appointments for AHCCCS members cannot be billed to insurance.

For non-AHCCCS plans or self-pay services:

• Missed or late appointments may result in a self-pay fee, where permitted by payer rules and disclosed in advance.

Scheduling Impact

Repeated missed appointments or late cancellations may result in:

• Limited scheduling availability
• Requirement for appointment confirmation
• Temporary pause in non-urgent services

These measures help ensure fair access and continuity of care.

Important Financial Disclosures

• Coverage varies by payer, plan, and service type
• Prior authorization may be required for some services
• Not all services are covered by all plans
• Clients are financially responsible for services denied or not covered by insurance