Frequently Asked Questions

If you are dealing with an emergency and need immediate attention please call 911.

MHRS is here to connect you with a therapist as quickly as possible. We offer open access hours and have a 24 hour crisis line at (307) 733-2046.

Our office hours are Monday-Friday from 8am-5pm. Visit our Mountain House page to see the current drop-in hours.

Our standard fee is $175 hourly for therapy. We can bill private insurance, Medicaid and Medicare. Payment is due at the time of your appointment.

Sliding Scale Fees: Our hourly fees are based on your ability to pay. Ask to apply for fees based on your gross household annual income.

More information about payments and fees is available below.

Bring your driver’s license, insurance/Medicaid/Medicare card (if applicable), and proof of income with you to your first appointment. Your proof of income can be a copy of your pay stub, first page of your tax return showing adjusted gross income, or W-2. You will be charged our full standard fee until an application for the sliding scale fee is completed and proof of income is provided.

It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness. Working with your medical doctor you can determine what’s best for you, and in some cases a combination of medication and therapy is the right course of action. We do have staff that can assist with medications.

We understand that life happens!  We will hold your session for you, however it will impact the amount of time you have for your counseling session. For example, if you have scheduled a 30-minute session and are 10 minutes late, your remaining time with your counselor is 20 minutes.

You must cancel your appointment more than 24 hours prior to your scheduled appointment time. If you cancel within 24 hours of your appointment, or have 3 or more times that you no show for a scheduled appointment, you may lose the privilege of the same time slot and it could result in a reset in requested fee adjustments.

To determine if you have mental health coverage through your insurance carrier, the first thing you should do is call them. Check your coverage carefully and make sure you understand their answers.  Some helpful questions you can ask them:

  • What are my mental health benefits?
  • What is the coverage amount per therapy session?
  • Is pre-authorization required by my plan in order to receive mental health benefits?
  • How many therapy sessions does my plan cover?
  • How much does my insurance pay for an out-of-network provider?
  • Is approval required from my primary care physician?

Confidentiality is one of the most important components between a client and therapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist’s office. Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is called “Informed Consent”.  Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, a child’s teacher, your Attorney), but by law your therapist cannot release this information without obtaining your written permission, outside of sharing the necessary information for treatment coordination, payment and under certain court orders.

Please note: State law and professional ethics require therapists to maintain confidentiality except for the following situations:

* Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.
* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.

Payment Information

Our standard fee is $210 hourly for therapy. We can bill private insurance, Medicaid and Medicare (see below). Payment is due at the time of your appointment.

Sliding Scale Fees:  Our hourly fees are based on your ability to pay. Ask to apply for fees based on your gross household annual income.

Please provide proof of income (pay stub, tax return, or W-2) to be eligible for this program.

Insurance: Your insurance policy may cover some mental health services. We bill insurance at our full rates. You may be required to pay an insurance deductible and/or co-payment, depending on your policy. If you are on a sliding scale fee, deductibles, co-payments, and services not covered by third-party payments will not exceed your sliding scale fee.

Change of insurance: It is your obligation to inform the receptionist if you have insurance that you wish to use for billing and when there are changes to your insurance status.

Medicaid or Medicare: If you are covered by Medicaid or Medicare, you will not be charged a copayment but may be charged on the sliding fee scale, for services not covered by those programs. The Children’s Healthcare Insurance Program (CHIP) under Medicaid requires a co-pay that you are responsible for.

Preauthorization: If your health insurance requires pre-authorization for services, it is your responsibility to coordinate this with your insurance company. If preauthorization is pending and you are on a sliding scale fee, we will charge you the full sliding scale fee until all preauthorization requirements are satisfied.

Third party contracts (DFS, DVR, EAP, etc.): Until verification is received, you will be responsible for the standard fee or your sliding scale fee.

Payment for minors: Parents are responsible for fees associated with treatment of their children. The parent or guardian signing the document will be considered the responsible party unless court documents are producted within 10 days of service indicating otherwise.

Group therapy is charged at half the individual therapy hourly rate.

Evaluation and court-ordered assessments are not subject to SSF rates and may cost more. Ask for more information about these rates.

Overdue accounts may be sent to a collection agency.