Yes and no.
We provide skilled occupational therapy from trained and licensed professionals. A large component of OT is based on improving an individual’s skills, but this comes after an in-depth evaluation of needs.
We observe and analyze a clients’ capacity after seeing them do an activity rather than asking them to verbally describe how they think they will do it. Most often individuals can have needs that are different than they or others around them first thought. We specialize in seeing the unseen.
No. We offer outpatient therapy services.
Intensive outpatient (IOP) is a short-term program where individuals receive treatment from multiple mental health professionals. Typically IOP programs provide up to 20 hours of services per week for 2-6 weeks. This is a level of care between outpatient and inpatient services. The individual will usually stay at home and attend the program during the day.
No.
Mental wellness services are typically not covered by insurance, as insurance companies often categorize occupational therapy as solely a physical rehabilitation service. This outdated view doesn’t reflect our true scope of practice, which addresses both physical and mental health challenges through a holistic, functional approach.
Insurance coverage generally requires treating a specific diagnosis rather than focusing on prevention and health promotion. At Holistic Community Therapy, we emphasize whole-person care and practical strategies that address both mental and physical needs, not just isolated symptoms. Our Mental Wellness services are designed to promote long-term well-being, which doesn’t fit neatly into the insurance model focused on disease treatment.
Additionally, most insurance plans view OT as a short-term intervention, suitable for physical rehabilitation but not for mental health support or ongoing wellness. To truly engage in meaningful change and work on implementing recommendations over time, paying out of pocket may be necessary. This allows us to spend the time needed to support your long-term success, rather than being limited by insurance restrictions.
Insurance also doesn’t cover everything, even when billed for an approved diagnosis. We do our best to advocate for coverage, but sometimes insurance companies scrutinize our work through audits, attempting to reclaim payments if they feel their requirements aren’t fully met. This puts an immense burden on small practices like ours, as one failed audit could jeopardize our ability to continue offering services.
By choosing to pay out of pocket, you help sustain our mission to provide holistic, client-centered care that addresses your needs as a whole person—not just a set of symptoms. It also allows us to focus on building long-term strategies for your well-being rather than rushing through short-term fixes.
No.
We do not provide superbills or bill insurance companies we are not contracted with. Unfortunately, insurance policies are often convoluted and place a heavy burden on both clients and providers to navigate coverage details.
Even when providing out-of-network services, insurance companies require providers to strictly follow their policies. If they determine that any aspect of care doesn’t meet their criteria—even after services have been provided—they may demand repayment from the provider. As a small practice, we cannot take on that financial risk.
If you have a secondary insurance that we accept, we will work directly with your insurance companies to attempt to get services covered.
If using insurance:
Generally, yes! Mobile therapy is billed the same way as an outpatient clinic visit. In some cases, insurance may reimburse at a higher rate for services provided in the client’s home. Regardless, our total session fee covers the cost of delivering care wherever you are.
If paying out of pocket:
There is an additional $25 travel fee for in-person sessions. This fee helps cover the cost of bringing therapy to you, offering convenient and accessible care.
You will need to provide a written request to the office for us to release your records, either to you or a 3rd party.
If you are currently working with a clinician, you can ask them to help you with this process. If you are not, then reach out to our office and we will send you the form needed to complete this process.
You will need to have the following information available to complete your request:
Records for continuing medical or behavioral health care will be free of charge as long as there is written statement attesting to such. Any records requested for the first time by a client under 500 pages will have all fees waived.
If for some reason there is financial inability to pay for records; please contact us at info@hctpdx.com and it will be assessed on a case by case basis.
A bonus charge of $50.00 if the request for records is processed and the records are mailed by first class mail to the requester within seven business days after the date of the request.
Please note there is a $30 clerical fee for record requests over 500 pages and/or if there are special recommendations as to how the records are organized and processed.
Invoices must be paid prior to records processing. You may contact our office to get an invoice sent to you.
| Mobile Outpatient Therapy | Home Health |
|---|---|
| For non-homebound clients | For homebound clients |
| Covered under Medicare Part B | Covered under Medicare Part A |
| You choose where therapy takes place (home, workplace, community) | Therapy is only provided at home |
| No doctor certification needed | Requires physician certification |
| Sessions typically happen once every 2 weeks or once a week and only provided by OT | Sessions happen multiple times a week by different providers (PT, OT, speech therapy, nursing, bath aide, etc.) |
No. Your session begins when the therapist arrives at your location. Travel time is not billed to you.
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