About this course

Learning Objectives

• Understand the 5 foundations of "Out-of-Network" insurance exceptions for clients
• Differentiate between eligible and ineligible circumstances for clients seeking Out-of-network insurance coverage
• Recognize and navigate ethical, clinical, and boundary considerations when advocating for clients

Learning Levels

• Very Basic: If you have already been doing SCA work, you may find this training rudimentary.

Target Audience

Course Instructor(s)

• 

  Molly Zametkin, LCSW-C

  Intake Specialist

  Molly Zametkin, LCSW-C is a Social Worker from Maryland specializing in trauma, acute care, assessment, and insurance utilization review. Molly has worked in a variety of clinical settings including The National Institutes of Health (NIAAA, NIMH), DC and VA public schools, and PHP/IOP treatment. Molly is passionate about insurance advocacy, trauma-informed clinical practice, healthcare leadership, and holistic healthcare delivery.

• 

  Laura Goldstein, LCMFT

  Owner and Therapist, Montgomery County Counseling Center and TheraCourses

  Laura Goldstein is a licensed clinical marriage and family therapist in Rockville MD. She is the founder and Executive Director of Montgomery County Counseling Center and the founder of TheraCourses! She has worked across multiple settings including in-home behavioral health services, IOPS for adolescent dual diagnosis treatment and young adults struggling to launch, and her private practice. 

  Laura is trained in Dialectical Behavior Therapy (DBT) from Behavioral Tech and has been fine tuning the application of DBT into individual therapy, parent coaching, and family therapy. She also trained in 2017 with The Gottman Couples Method, which is a seamless integration of DBT concepts when working with couples. With over 12 years of experience in the field, Laura has established herself as a local expert in relationship therapy, public speaking, and therapy practice management.

  In 2022, she launched TheraCourses, an e-course platform with innovative solutions to address the obstacles of accessing affordable psychoeducation that parents need in order to prevent and/or treat the adolescent mental health crisis we face today.

Disclosure

References

• Xu, W. Y., Song, C., Li, Y., & Retchin, S. M. (2019). Cost-sharing disparities for out-of-network care for adults with behavioral health conditions. JAMA Network Open, 2(11), e1914554-e1914554.
• Benson, N. M., & Song, Z. (2020). Prices And Cost Sharing For Psychotherapy In Network Versus Out Of Network In The United States: Study examines out-of-network and in-network trends in the prices and use of ambulatory behavioral health care in the United States. Health Affairs, 39(7), 1210-1218.
• Busch, S. H., & Kyanko, K. A. (2020). Incorrect Provider Directories Associated With Out-Of-Network Mental Health Care And Outpatient Surprise Bills: An examination of the role inaccurate provider directories play in out-of-network mental health treatment and surprise bills. Health Affairs, 39(6), 975-983.
• Lee, J., & Kim, J. (2020). The role of health insurance in mental health care for young adults. Applied Economics, 52(42), 4577-4593.