A clearer first step toward care.
Understand the care pathway, location, and access requirements before getting started with ROW.
Begin with the service and location
Tell ROW who needs care, which service or level of support you are considering, and the location you prefer. The team can discuss the relevant access pathway and what information is needed to review fit and availability.
Insurance participation
Participation may differ across outpatient care, psychiatric Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP), ABA/IBHS, and interventional services. Confirm the specific program rather than relying on an organization-wide plan list.
Coverage and costs
Discuss network participation, referral or authorization requirements, and any applicable patient costs for the requested service. Insurance information should be verified for the individual plan and service before care is scheduled.
Review insurance and cost information and the Good Faith Estimate notice.
What to have ready
Have the patient’s age, presenting needs, requested location, insurance plan details, current providers, and relevant referral information available for the intake conversation.
Choosing the appropriate pathway
Outpatient care, higher levels of psychiatric care, and ABA/IBHS have distinct assessment and access requirements. For children with overlapping mental-health and neurodevelopmental needs, ROW can discuss the relevant pathway and coordination across services.
For referral partners
Use the professional referral pathway to find program criteria, location-specific contacts, and the referral process.
Take the next step
Ask about the service, location, and access requirements that apply to you or the person you are referring.
Find the next step in care.
Talk with ROW about the appropriate pathway, available location, and access requirements.