Notice of HIPAA Privacy Practices
To report any compliance issues, including fraud, waste, or abuse, or if you see some way that AMHR or someone within AMHR is not following this Code of Conduct, you must report it. You can do this by:
- Letting a supervisor know immediately so that we can improve AMHR. Supervisors or any member of management are expected to forward compliance-related concerns to the Compliance Officer.
- Accessing the EthicsPoint portal 24/7 if you are not comfortable raising concerns within your department, if issues have not been addressed after you have raised them, or if this is your preferred method of reporting. Methods to use are:
- by mobile device at amhrmobile.ethicspoint.com,
- call EthicsPoint toll free to 833-942-0756,
- by using the EthicsPoint QR Code, or
- call your AMHR Compliance Officer.
Your communication will be confidential to the extent possible. AMHR will not retaliate against any person that makes a report. Whatever the method, help us follow our Code of Conduct and provide excellent patient care.
Organized Health Care Arrangement (OHCA)
Aurora Mental Health & Recovery and Metro Community Provider Network have agreed to form and to enter into an organized health care arrangement (Integrated Care OHCA) for the purposes of treatment, payment, and health care operations in order to better address your health care needs.
How We Will Use and Give Your Health Information:
The Integrated Care OHCA members have agreed to participate as a clinically integrated care setting where patients may receive health care services from more than one providers or in a joint arrangement conduct at least one of the following joint activities:
- utilization review
- quality assessment and improvement activities, or
- payment activities.
Aurora Mental Health & Recovery Sliding Scale and Standard Rates for the Top 15 Billing Codes
AMHR accepts most major commercial insurance. We do not discriminate in the provision of services based on ability to pay, whether payment for those services would be made under Medicare, Medicaid, or CHP. No one is denied access to services due to their inability to pay.
If you do not have insurance, we offer sliding scale rates to individuals who qualify based on Federal Poverty Guidelines of family size and income. The Sliding Fee Scale** (also referred to as the Fee Schedule) is applied uniformly, consistently, and without prejudice. The AMHR Standard Rates for the top 15 services provided at AMHR, as well as the Sliding Fee Scale, are posted below. Final determination of sliding fee scale is through AMHR and the below is for approximate fees only.
How to find your fee: Find your annual household income in the first table below on the row with your number of household members. (Keep in mind that when we say “household”, we mean anyone that you would file taxes with, even if you don’t typically file taxes. This could include a spouse, parent, child, or any dependent.) This identifies your Self-Pay Level. Then, find your fees in the second chart below based on your Self-Pay Level.
|Number of Household Members||Annual Income of All Household Members|
|1||$55,001 and up||$51,001 - 55,000||$48,001 - $51,000||$44,000 - $48,000||$37,001 - $43,999||$0 - $37,000|
|2||$74,001 and up||$69,001 - $74,000||$64,001 - $69,000||$59,000 - $64,000||$50,001 -$58,999||$0 - $50,000|
|3||$93,001 and up||$87,001 - $93,000||$81,001 - $87,000||$75,000 - $81,000||$68,001 - $74,999||$0 - $68,000|
|4||$113,001 and up||$105,001 - $113,000||$98,001 - $105,000||$90,000 - $98,000||$75,001 - $89,999||$0 - $75,000|
|5||$132,001 and up||$123,001 - $132,000||$114,001 - $123,000||$105,000 - $114,000||$88,001 - $104,999||$0 - $88,000|
|Top 15 Services Provided at AMHR||Sliding Fee Scale**|
|Services||STANDARD RATES*||Self-Pay Level 5||Self-Pay Level 4||Self-Pay Level 3||Self-Pay Level 2||Self-Pay Level 1|
|Psychiatric Diagnostic Evaluation for Medication||$467.00||$350.00||$234.00||$117.00||$12.50||$5.00|
|Individual Therapy 38 – 52 mins||$241.00||$181.00||$121.00||$60.00||$12.50||$5.00|
|Family Psychotherapy w/Patient||$270.00||$202.00||$135.00||$67.00||$12.50||$5.00|
|Psychiatric Medication Management 99212||$98.00||$73.00||$49.00||$24.00||$12.50||$5.00|
|Psychiatric Medication Management 99213||$179.00||$135.00||$90.00||$45.00||$12.50||$5.00|
|Psychiatric Medication Management 99214||$263.00||$197.00||$132.00||$66.00||$12.50||$5.00|
|Behavioral Health Counseling per 15 minutes||$92.00||$69.00||$46.00||$23.00||$12.50||$5.00|
|Group Alcohol/Drug Counseling||$63.00||$48.00||$32.00||$16.00||$12.50||$5.00|
|Group Behavioral Health Prevention/Education||$34.00||$25.50||$17.00||$9.00||$12.50||$5.00|
|Mental Health Assessment, Non-Physician||$201.00||$151.00||$101.00||$50.00||$12.50||$5.00|
|Targeted Case Management||$52.00||$39.00||$226.00||$13.00||$12.50||$5.00|
*Standard rates as of 7/1/2023
**The sliding scale rates do not apply to medications, vaccines, and laboratory services as they are provided by other companies.
Reporting Fraud, Abuse, or Waste
Aurora Mental Health & Recovery and Subsidiaries (AMHR) are committed to the highest levels of quality and ethical standards and to ensuring that all its business is conducted in compliance with Federal, State, and local laws and within applicable regulatory guidelines.
Aurora Mental Health & Recovery and Subsidiaries maintain mechanisms to prevent, detect, investigate, and correct incidents of Fraud, Waste and Abuse in accordance with contractual, regulatory, and statutory requirements.
Employees and contractors of AMHR shall be educated on false claims acts and the roles such laws play in preventing and detecting fraud, waste, and abuse in governmental health care programs.
Aurora Mental Health & Recovery and Subsidiaries will take appropriate disciplinary action against employees, providers, subcontractors, consultants, and agents found to have violated AMHR policies or the Code of Conduct and/or committed fraud, waste, or abuse.