Single Case Agreements: A Guide for Mental Health Providers

In this episode of the Sit and Stay Podcast, we break down single case agreements—a useful yet complex way for patients to access out-of-network providers under their insurance. We discuss how mental health providers can advocate for single case agreements, the two-step process of authorization and rate negotiation, and practical advice for families seeking coverage. Learn why in-person services and patient advocacy play a crucial role and get tips on overcoming common obstacles with insurance companies. 0:00 Introductions 1:34 What is a single-case agreement? 3:02 What are some of the use cases for a single-case agreement? 5:05 What is the reason for going the single-case agreement route over other options? 7:10 How can providers educate patients on the option of a single-case agreement? 15:20 How are single-case agreement negotiations with providers and insurance done? 21:02 How long can the duration of single-use agreements be before they are exhausted? 23:33 What can patients do when single-case agreements don't pan out with insurace? 27:30 The Mental Health Business Moment Of The Week 30:45 Conclusions