Payment Agreement & Policies
We are committed to providing high-quality occupational therapy services and appreciate your partnership in keeping sessions consistent and payments timely. Please review the following policies carefully.
Medicaid Patients
I am a Colorado Medicaid provider. Services will be billed directly to Medicaid as long as:
-Your child’s Medicaid eligibility is current, and
-A signed physician’s order (prescription) with a valid diagnosis is on file.
-Please note: Orders must be signed by a physician, not a nurse practitioner or physician’s assistant.
-If your child has other insurance coverage, you must notify me. Colorado Medicaid requires that I have accurate and updated information about:
-Physician name and contact
-Medicaid status
-Address or phone number changes
-Any additional insurance coverage
Private Insurance Patients
I am considered an out-of-network provider for all insurance companies.
If your plan includes out-of-network therapy benefits, I am happy to provide you with a superbill that you may submit to your insurance for possible reimbursement.
Cancellation & No-Show Policy
Consistent attendance is essential for your child’s progress. Appointments are in high demand, and missed sessions limit our ability to offer care to other children.
-24 hours’ notice is required for all cancellations.
-Cancellations made with less than 24 hours’ notice will incur a $35 fee.
-Cancellations made after 9:00 a.m. on the day of service or no-shows will be charged the full session fee.
-In cases of illness, please notify us as soon as you know your child is unwell.
-If more than 3 cancellations occur within a 2-month period, your recurring appointment time may be offered to another family on the waitlist.
Fee Schedule & Payment Terms
Private pay rate: $140 per session
Invoices are sent monthly
Payment is due via check, Zelle or Venmo within 15 days of the invoice date
A $25 late fee will be applied to payments received after 15 days
If a payment plan is needed, please contact Julie to make arrangements
By signing below, you acknowledge that you have read, understand, and agree to these policies.