1. Student Center for Health and Counseling Billing for Counseling Services: Review and Update

2. Billing for Services: Rationale Increased revenue to meet growing demand Independent source of revenue Recalibration – Recoup Counselors’ salaries

3. Billing for Services: Implementation Licensed Clinicians Health Insurance credentialing and approved provider status Fee schedule Revised standards – diagnosis, treatment, documentation, standards of care, outcome measures

4. Billing for Services: Implementation Accelerated shift from developmental to medical models of care New Electronic Medical Records system Relocation from Birch to Cedar Hall

5. Billing for Services: Utilization Trends Academic YearNo. of clients% changeNo. of contact hours % change 2007-082661076 +12%+9% 2008-092971171 +13%+5% 2009-103351223 -9%-12% 2010-113061077 -44%-47% 2011-12172571

6. Billing for Services: Revenue Total billed - $84,000 Insurance payments Received - $34,000 Students’ responsibility – 29,000 Insurance adjustments - 21,000 Total received - 63,000

7. Billing for Services: Program Evaluation Access to ServicesRevenue $$

8. Billing for Services: Program Revisions New Rationale: – “The Student Center for Health and Counseling is Charging fees for counseling services to offset the costs of providing these services not covered by student fees or other sources of University revenue while maintaining an equitable fee schedule.”

9. Billing for Services: Program Revisions The first appointment will be a free consultation. The fee schedule is reduced by 60% Psychological testing and evaluation will be billable services

10. Billing for Services: Program Revisions Renew efforts to establish source of funding for students in financial need to purchase student health insurance coverage. Increase outreach and education initiatives Establish SCHC Advisory Board