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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.

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 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.

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)

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.

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 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.