Why is Burrell introducing a new payment policy?
Burrell’s goal is to provide the best quality of care to our clients.
- Part of that is making sure that access to services is timely and easy.
- In order to serve our clients’ behavioral health needs (those with MO HealthNet/Medicare or other insurance, and those without insurance) and to see them quickly, we need to be able to schedule initial and follow-up appointments, and make sure the client can attend and pay for the sessions.
- We know there are some clients who are unable to pay the full cost of their care, either because they don’t have insurance or are facing a crisis.
- If a client does not have insurance, it is our promise to work diligently with the client to explain and help apply for financial assistance, place the client in our affordable Sliding Scale Fee program, and set up payment plans as needed.
- If a client is facing a crisis or has experienced a trauma, we will do the same. Our client’s health and safety are our top priorities.
- All Burrell employees must treat all clients with dignity and respect regardless of behavioral health needs, status of insurance, or financial situation. If you have concerns with your treatment, please contact firstname.lastname@example.org.
Will my enrollment and application process (if necessary) be the same at every Burrell location?
Who will help me fill out the Burrell Financial Assistance application?
Your assigned Community Support Specialist, the local Registration Specialist or the local Burrell MO HealthNet Screener will help you fill out any MO HealthNet paperwork and/or applications.
Do I have to make any other applications or provide documentation proving efforts to receive financial assistance besides what Burrell offers?
If I decide to use the Mo HealthNet Automatic Spend-Down, who will help me fill out the form?
The assigned Community Support Specialist, the local Registration Specialist, or the local Burrell MO HealthNet Screener will help you fill out any MO HealthNet paperwork and/or applications.
How does the MO HealthNet Spend-Down Form work and when is it filled out?
Your Registration Specialist will explain the form to you, if you are enrolled in MO HealthNet and have a Spend-Down. If you decide to enroll in the Automatic Spend-Down Withdrawal, the Registration Specialist helps you complete the form during the intake process.
If the initial MO HealthNet application is denied, what happens?
You may reapply for MO HealthNet, and can continue to receive financial assistance for six (6) months while the application is being processed.
Will I keep my Financial Assistance if I am eventually approved for MO HealthNet?
No. Once you obtain insurance coverage, you will be enrolled in billable services with an appropriate provider.
Will I be able to review a list of available medications that qualify for financial assistance so my provider prescribes those medications?
No. Burrell providers will always prescribe medications covered by financial assistance as a first choice if they are the best medication and meet your needs. If needed medications are not covered by financial assistance, you can discuss other options with the prescribing provider, including our pharmaceutical assistance program aid (managed by the pharmacy).
What documents are accepted as proof of income?
Last two (2) consecutive pay stubs, income taxes, statement of benefits (Social Security, Unemployment, Pensions, etc), employer earnings statement/letter.
For youth clients in blended families, whose income is considered “household income"?
The financially responsible party.
Is a Spanish version of the letter available?
Yes. Please ask your Registration Specialist.
If my Medicaid approval process takes more than 5 months because of the appeal process, what are my options?
If Medicaid has not been approved, you will be responsible for services received and may apply for a Sliding Scale Fee rate.
Can my Financial Hardship Waiver be used for my initial screening?
No, the Financial Hardship Waiver is for Outpatient Therapy only. You may apply for the Sliding Scale Fee to cover the initial screening. You will need to have an initial screening prior to applying for the Financial Hardship Waiver in order to determine the services that meet your needs.
Does the Sliding Scale Fee apply to all Burrell services, or only for therapy programs?
Sliding Scale is set up to apply to many of Burrell services. Ask your Registration Specialist for more information.
Am I able to set up a payment plan under Burrell’s new financial policy?
What if I am willing but unable to pay My MO HealthNet spend-down amount?
We do not collect a client spend-down amount. We do collect payment for services. If you are unable to pay for services, please contact our Registration Specialist.
What documentation is required for Financial Hardship Waiver and the Sliding Scale Fee applications?
The following documentation is required to complete the application: (1) MO HealthNet Standard Means Test (SMT), (2) proof that you are a resident of Missouri, (3) proof of income or documentation for lack of income, (4) documentation for lack of any insurance, and (5) any required application forms.
If my MO HealthNet spend-down amount is more than my Sliding Scale Fee amount, can I pay the Sliding Scale Fee amount?
No. If you have MO HealthNet, you must pay the spend-down amount.
If my commercial insurance copay is higher than what I would pay on the Sliding Scale Fee, can I use the Sliding Scale Fee for services?
No. If you have insurance you should file insurance for the services and pay the appropriate insurance copay.
Can I remain on the Sliding Scale Fee for more than six (6) months if I do not qualify for MO HealthNet?
You will be able to continue behavioral health services and remain on the Sliding Scale Fee as long as you can pay the copay on the Sliding Scale Fee.
Does the Sliding Scale Fee apply to the initial screening appointment?
Does the Sliding Scale Fee cover testing services?
Yes. Sliding Scale Fee applies to psychological testing only. It does not apply to neuropsychology, court-ordered or medically required testing, parenting fitness and custody testing.
How long does it take to determine if I am eligible for the Sliding Scale Fee or Financial Assistance?
If you provide correct and complete documentation, the approval process should be able to be determined between zero (0) – three (3) business days.
How long will I need to seek alternate payment options before I receive Financial Assistance?
Until financial assistance is approved.
Can I receive psychiatry services with Financial Assistance?
Psychiatry services may be covered by the Sliding Scale Fee, but are NOT covered by the Financial Hardship Waiver.
What if I cannot pay at the time of service?
Unless a payment plan has been set up, the appointment will be rescheduled.
If I receive the Financial Hardship Waiver, how many free sessions can I have?
The Financial Hardship Waiver is limited to nine sessions per rolling year.
Can the Sliding Scale Fee be used to cover my deductible?
No. Sliding Scale Fee is only available if you do not have insurance, or have insurance Burrell does not accept.
Can I pay my spend-down in the clinic, or only through an auto-withdrawal or by mailing a check?
Clinics can accept payment for services and provide documentation to be provided toward spend-down. Clinics will not submit spend-down payments for our clients.
If I have paid my spend-down or set up auto-withdrawal, but it is not yet visible or active in my client account, do I have to reschedule?
It is not our intent to be a barrier to you to getting services. If you provide proof that you have paid your spend-down or set up auto-withdrawal, you will not need to reschedule your appointment.
Can I only make a spend-down payment for a service that is scheduled/, or can I make a payment in advance of scheduled services?
You can certainly pay for the current service and pay additional that can be applied to future services.
If I choose to not do the spend-down auto-withdraw, how do I make a cash payment on the first day of the month?
You will need to pay for the service provided on the first day of the month. Burrell does not collect or submit your spend-down amounts; we collect the payment for the services you get.
Where do I pay when I pay at Burrell?
Payment for service could be to any Burrell Support or designated staff.
If I have a spend-down, am I eligible for a payment plan?
A payment plan can be set up to cover the cost of services. If you are responsible for payment of services due to not having met your spend-down, you can set up a payment plan to pay for your responsibility of charged services.
Who will help me with the financial assistance application for prescription assistance programs (offered by pharmaceutical companies)?
The pharmacist at one of the three (3) Burrell pharmacies will help you.
Does Burrell have a Client Advocate?
Access the Care You Need
To access this service, take the first step of visiting one of the Burrell walk-in clinics near you. Our team will evaluate and assess the client's needs and identify the appropriate service for that person. Burrell walk-in clinics file insurance information and applications for financial assistance and schedule follow up appointments to start clients in proper care. Click the link below to find the walk-in clinics serving your area, see hours and find more information. Call 417-761-5000 with any questions.