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funding resources

CTN is a contracted provider for the following insurance companies:

Aetna, The Alliance, Anthem Blue Cross Blue Shield, Auxiant, Dean (autism diagnosis only), Health EOS, Humana, Quartz, UMR, and WEA insurance.  Please note we are NOT able to bill GHC at this time. 

 

We ask that you contact your insurance to verify that we are contracted with your plan and to confirm coverage and benefits as your plan may have exclusions and/or prior authorization may be required. If CTN is not in your health plan’s provider network, you may have an out-of-network benefit that would apply. You can also request to have CTN added as a provider or ask for single case agreement, please contact your insurance company for details. 

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If services are not covered by insurance, CTN offers a discount for payment received at the time of service.  It is required that there is a credit card on file.  CTN is not legally able to provide a discount for balances after insurance (co-payments, co-insurance or deductible amounts).

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We are NOT Medicaid providers (i.e Katie Beckett, Badgercare, MA) however, are able to support MA clients who are part of the following Medicaid funded programs: Comprehensive Community Services (CCS) and Children's Long Term Services (CLTS)  

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CCS eligibility:

Dane County resident (each county in the state manages their own CCS program), Eligible for Medical Assistance, Have mental health or substance use diagnosis, Functional limitation in one or more major life activities caused by mental health or substance use issues as measured by the state screen, Need for psychosocial rehabilitation services, Must have a current physician prescription for services   Click here to apply

 

CLTS eligibilityUnder the age of 22, Have a diagnosis of an intellectual and/or developmental disability, physical disability, and/or mental health disability, Currently living in Dane County (each county administers their own CLTS program), Eligible for Medicaid, meet a level of care need through a screening tool.  Click here to apply

 

A note on physician’s prescriptions:

These are required by state law for therapists to see your child.  It is important that you work with your physician to describe the FUNCTIONAL, MEDICALLY NECESSARY deficits and associated treatment diagnosis/medical diagnosis that we will be treating if we will be billing insurance the service.  We will need either a treatment diagnosis (A description for the deficit we are addressing with the client’s treatment plan) or a medical diagnosis given by an MD. As therapists, we do not provide a medical diagnosis. If a medical diagnosis is of concern or needed for reimbursement or insurance coverage, please contact your child’s physician. Our therapists will support and provide guidance regarding their observations, concerns, and make recommendations for further services or diagnostic assessments.

 

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