No Surprise Act of 2021
Under a new federal law to protect clients and patients from surprise health care bills, Licensed Clinical Social Workers (LCSW) and other health care provider types must, effective January 1, 2022, provide a Good Faith Estimate (GFE) of expected charges that may be billed for items and services to individuals who are uninsured (e.g., not enrolled in any health plan or coverage) or who are self-pay (e.g., not seeking to file a claim with their plan or coverage). The GFE must be provided both orally and in writing, upon request or at the time of scheduling health care items and services, and within specific timeframes. A Good Faith Estimate is an estimation of the expected charges provided in advance of scheduled services.
The rule applies to both current and future clients who are uninsured or self-pay. Providing a GFE to clients is not new to LCSWs who, as part of best clinical practice, routinely discuss services and fees before or during the initial interview with new clients.
[Limited slots for further reduced rate offered on a significant needs basis]
Length and frequency of treatment: