Compliance

Notice of Compliance with the “No Surprises Act” 

Under the "No Surprises Act," healthcare providers need to give clients/patients who don’t have insurance or are not using insurance an estimate of the bill for their medical items/services. The Good Faith Estimate (GFE) will explain in detail what to expect regarding the cost of your medical/mental health care. Some of your rights under this law are detailed below:

  • You have the right to receive a GFE for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a GFE in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a GFE before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate.

    For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Note: This law does not currently apply to any clients who are using insurance benefits, including "out of network benefits'' (i.e., submitting Superbills to insurance for reimbursement). 

Records Requests & Complaints

While most concerns between a client and therapist can be resolved directly, there may be situations that require additional support. In compliance with the State of Texas, the information below is provided should you wish to file a report.

Please always feel free to reach out to provide feedback or constructive criticism by contacting the practice owner.

Business Violation Concerns

If you believe you have been a victim fraudulent business practices in the State of Texas please contact the Attorney General's Office to file a consumer complaint.

Click here to learn more about your consumer rights.

https://consumerprotection.texasattorneygeneral.gov/consumercomplaintportal/s/

License Violation Concerns

If you believe a clinician has violated their code of ethics and/or scope of their licensing regulations, please contact the licensing board.

Click here to access the Texas Code.

Texas Behavioral Health Executive Council

1801 Congress Ave., Ste. 7.300
Austin, Texas 78701
(512) 305-7700
Phone: 1 (800) 821-3205

https://bhec.texas.gov/contact-us/

Link to Complaint Form: http://www.bhec.texas.gov/wp-content/uploads/2020/07/BHEC-Complaint-Form.pdf.

Notice of Privacy Practices

This link will take you to a separate page where you can find the Notice of Privacy Practices.

Records Request

You have the right to request a copy of your mental health records.

To request your records, please submit a written request to your provider. Requests must be made in writing and require a completed Authorization to Release Information Form. Records will be provided in accordance with Texas law and applicable privacy regulations.

Administrative costs may apply.

If you have questions about accessing your records, please contact our office for assistance.