Indianapolis Institute for Families, Inc.
Our Policies
PAYMENT INFORMATION
The Indianapolis Institute for Families currently accepts cash, check, money order, Visa or MasterCard as forms of payment. Payment is expected at time of service.
CANCELLATION POLICY
CANCELLATIONS MUST BE MADE 24 HOURS IN ADVANCE OR A $50.00 FEE MAY BE CHARGED. REPEATED CANCELLATIONS OR NO SHOWS MAY RESULT IN TERMINATION FROM SERVICES.
INSURANCE/MEDICAID INFORMATION
We accept any insurance and will file claims for you. We have therapists in the following networks:
• Anthem Blue Cross/Blue Shield
• Magellan Behavioral Health (handles some of Anthem’s mental health)
• Value Options (handles some of Anthem’s mental health)
• Encore
• Comprehensive Behavioral Care (handles some of M-Plan and Advantage Health Plan)
• Cigna Behavioral Healthcare
• Sagamore Health Network
• Humana
• Aetna
• Medicaid/Hoosier Healthwise
• United Behavioral Healthcare
We will verify your insurance information at your initial appointment and inform you of your anticipated payment. Any adjustments following the finalization of the claims will be your responsibility and you will be billed.
If your therapist is not in your network and you have chosen our services over an in-network provider, you may be responsible for full fees or a larger portion of the fee than for an in-network provider. Please be aware any difference will be your responsibility.
Should your coverage lapse or terminate, you will be responsible for full fees unless you make arrangements with your therapist or the Business Manager in advance.
Any questions about payment information or fees for service should be directed to the Business Manager.
CONFIDENTIALITY POLICY
As a client of a mental health agency in the State of Indiana, your records, and the records of your minor child(ren) are considered privileged and must be maintained as confidential. At the Indianapolis Institute for Families, we will professionally and ethically maintain your mental health records as provided by the statutes of the State of Indiana, the Codes of Ethics and Professional Standards in the practice of clinical social work and family therapy, and in accordance with HIPAA regulations.
PLEASE BE AWARE…
- That the statutes of the State of Indiana require that all known and/or suspected incidents of child and elder abuse and neglect be reported to appropriate authorities. The Indianapolis Institute for Families, Inc., and all of its agents, will report all such incidents regarding any child or elder when witnessed, alleged, suspected, and/or reported to the Indianapolis Institute. Further, records involving these cases may be subpoenaed by the court and those professionals involved in the case may be required to testify.
- That the Indianapolis Institute, and all Clinical Associates of the Indianapolis Institute, have a required professional DUTY to WARN in situations involving suicidal ideation and/or planned or executed suicidal attempts. In such situations, appropriate family members, law enforcement, medical professionals and/or the supervising agency will be informed. A safety plan and suicide contract will also be required.
- That the Indianapolis Institute, and all Clinical Associates of the Indianapolis Institute, have a required professional DUTY to WARN in situations involving homicides, attempted homicides, potential homicides or homicidal ideation. In such situations, law enforcement, victims, potential victims, appropriate family members, medical professionals and/or the supervising agency will be informed. A safety plan and homicidal contract will also be required.
- That you have the right to restrict where and how we communicate confidential information to you. If you choose to execute this restriction, please be sure you inform your therapist and the Director of Operations and Finance at the Indianapolis Institute.
- That information is legally and necessarily shared between the Indianapolis Institute, as the rendering service provider, and your Medicaid and/or Insurance provider to certify you for benefits and reimbursement.
- That as an adult you are entitled to a copy of your records upon written request. The Indianapolis Institute also requires that you sign a Consent for Release of Confidential Information. A charge for reproduction of your records may be required.
- That parents, custodial, non-custodial and adoptive, and legal guardians are entitled to a copy of the records of their minor child(ren) upon written request. The Indianapolis Institute also requires that you sign a Consent for Release of Confidential Information. A charge for reproduction of your records may be required.
- That cases involving court proceedings may require release of your, or your child’s, confidential mental health records by subpoena. The Indianapolis Institute will not release your, or your child’s, confidential mental health records by subpoena without your Consent for Release of Confidential Information. If you do not consent to the release of your, or your minor child’s, records by subpoena, a Court Order will be required for release of any confidential mental health records. Please also note that a Guardian ad Litem (GAL) or Court Appointed Special Advocate (CASA) have court appointed access to records. Should a GAL or CASA request confidential records from the Indianapolis Institute, you will be informed and completion of a Consent for Release of Confidential Information will be requested.
- That the Indianapolis Institute does not release confidential third party records; these include records provided by yourself, a parent or another party from medical professionals, psychiatrists, psychologists, social workers, family therapists, mental health professionals, schools, agencies or any other source currently or previously involved with you or your minor child.
- That the Indianapolis Institute may refuse to release confidential mental health records when the Indianapolis Institute determines that said release may be endangering to the safety, health or well-being of the client, including minor children. In such instances, a Court Order and/or a certified statement from psychiatrist or physician rendering care who assumes responsibility for the mental and emotional health and stability of the client or parent/legal guardian of the minor child, will be required prior to release of the confidential record.
- That the Indianapolis Institute, in accordance with the requirements of the National Computer Services and Pearson, will not release test results to the client or parent(s)/legal guardian(s) of a minor child.
- That children, especially adolescents, often ask if what they disclose in a therapy session is confidential from their parents. The Indianapolis Institute cannot grant full confidentiality to any child under the age of 18 years; however, we do believe they are entitled to some privacy. As participants in a family program, confidentiality cannot be such as to be damaging to the individual, the family, or the treatment process. Therefore, all matters involving the safety or well-being of the minor child, the family, any family member or other will be disclosed to the parent(s)/legal guardian(s) and processed in family therapy.
- That excluding an unforeseen disaster, the Indianapolis Institute maintains client records for 10 years post termination from services. The confidential records for adoptive children and families will be maintained unless/until the Indianapolis Institute for Families corporation is dissolved.
Should you have any questions about confidentiality, please ask your therapist or the Executive Director, or request a copy of the current Notice of Privacy Practices.
