FAQs

• Proactive Child Care requires a 24-hour notice for any cancellation. Canceling with less than 24 hours notice will result in being charged the full fee.

• Sessions are paid by credit card or cash on the day of the service. All clients are required to maintain a credit card on file through Proactive Child Care's HIPAA-compliant client portal.

• All therapy services are available via HIPAA-compliant videoconferencing (telehealth), even at short notice. 

• If anyone in your household has a fever, COVID-19, influenza, or RSV, we respectfully request that your in-home session take place virtually to avoid exposure and spreading illness. Please wear a face mask during in-person appointments if you notice any developing symptoms, such as sore throat or runny nose.​

• Clients/legal guardians can request their own super bills in order to pursue out-of-network reimbursement for services received. Please note that insurers require any applicable ICD-10 diagnoses be listed on this document for your insurance records.

*Additional policies, consents, and procedures will be provided to all new clients at the time of enrollment.

Fees

45 minute telehealth session $250

90 minute telehealth session $450

45 minute in-home session $275

90 minute in-home session $475

For clients who are committed to the process of therapy and facing financial limitations, sliding scale fees can be arranged as needed. Please don't hesitate to reach out so we can discuss this further.

Private Pay & Super Bill Information

Proactive Child Care does not accept insurance at this time and is considered an Out of Network (OON) provider. Clients with a PPO plan are often able to receive reimbursement for some of the cost of sessions through their insurance company. To determine if your insurance coverage includes outpatient therapy sessions with an out-of-network provider, contact your insurance company directly by calling the customer service number found online or on the back of your insurance card. Proactive Child Care will provide you with a monthly "super bill" that you can submit to your insurance company for reimbursement. 

A super bill is a detailed receipt for health services that are paid out of pocket. It includes the date of services, procedure (CPT) codes to clarify which exact services you received, amount paid, and any diagnosis that you/your child have been diagnosed with by the provider. We provide monthly super bills to any client who requests them.

When using OON benefits, you pay treatment fees directly to the provider at the time of service, and then pursue reimbursement from your insurance carrier. To learn more about your potential OON benefits, you call your insurance carrier and ask these questions:

• What is my Out of Network coverage?

• Do I need to meet a deductible before using Out of Network coverage, or can I start now?

• If I were to pay $250 for a 45-minute therapy session, how much would you reimburse? (common therapy CPT codes to ask about are 90847, 90846, & 90834)

For a more detailed explanation of why so few mental health providers work with insurance and how to explore your OON options, consider reviewing this article. Another resource to consider is the Reimbursify app, which helps streamline the experience of submitting super bills for reimbursement.

Proactive Child Care/Rachel Kavanaugh, PsyD does not provider 24/7 crisis support. During the course of treatment and even after it ends, if you or someone you know are in crisis or experiencing a mental health emergency, service options are provided below to more immediately address your needs at this time:

• Call 988 (available 24/7)

Website: https://988lifeline.org/ 

• Crisis Text Line

Text "HOME" or "SCHOOL" to 741741 

Website (Chat Online or via WhatsApp): https://www.crisistextline.org/ 

• LA County Department of Mental Health Help Line 

Call 800-854-7771

Website: https://dmh.lacounty.gov/get-help-now/ 

• Services provided by LACDMH Help Line staff include:

Option 1: Access Center for Service Referrals, Crisis Assessments and Field Deployments (available 24/7)

1. Mental health screening and assessment

2. Referral to a service provider

3. Crisis counseling

4. Mobilizing field response teams

5. Linkages to other services and resources

Option 2: Emotional Support Warm Line with Trained Active Listeners (available 9 a.m. to 9 p.m. daily)

• The Trevor Project

Call (1-866-488-7386)

Text ("START" to 678-678)

Website (Chat Online): https://www.thetrevorproject.org/get-help/ 

• Peptoc Hotline

Call (707-873-7862) for pre-recorded life advice and encouraging messages from K-6 students at West side Elementary in Healdsburg, CA

Website: https://www.peptoc.net/hotline 

• And/or go to your nearest Emergency Room

Under a recent Federal law, health care providers need to give clients who do not have insurance or who are not using insurance an estimate of the expected charges for medical services in advance.

This law, called the No Surprises Act, is intended as consumer protection against unexpected/unauthorized hospital bills. However, it is written in broad language as to potentially include mental health therapists in private practice. 

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment.  You may request a list of available therapy services and costs up front, so that you are fully aware of what you will be charged.

If you receive a healthcare bill that is at least $400 more than the prices indicated on your estimate, you can dispute the bill. Rest assured, Proactive Child Care will always be transparent in our costs and bill for services same-day to eliminate the possibility of a "surprise bill."

For questions or more information about your right to a Good Faith Estimate, or how to dispute a bill, see your Estimate, or visit the CMS website.

Notice to Consumers: The Department of Consumer Affairs’ Board of Psychology receives and responds to questions and complaints regarding the practice of psychology. If you have questions or complaints, you may contact the board by email at bopmail@dca.ca.gov, on the internet at psychology.ca.gov, by calling (866)503-3221, or by writing to Board of Psychology, 1625 N Market St, Ste N-215, Sacramento, CA 98534