EAP-Employee Assistance Program Clients

what are eap's? employee assistance programs (eaps) are workplace benefits designed to support employees' mental and emotional well being they typically provide confidential counseling, referral services, and other resources to help employees address personal or work related issues that may be affecting their performance, health, or happiness depending upon the plan, this benefit may also cover the employee's family members eaps are different from insurance clients because they are not insurance plans instead, they are typically provided as a separate benefit by employers, and they often have a limited number of sessions or services available to employees eaps also focus specifically on mental health and wellness services, whereas insurance plans may cover a broader range of mental health services it's worth noting that some eap clients may choose to convert to using their insurance after they exhaust their eap sessions or if they require more extensive or ongoing mental health services however, it's also important to remember that eaps can be a valuable resource for employees who may not have otherwise sought out mental health support, and they can help prevent larger issues from arising in the first place hopscotch has contracts with several eap companies who provide these services to employers how do i become an eap provider with hopscotch? hopscotch is now an employee assistance program (eap) provider for multiple plans although we are offering pediatric counseling to these programs we do get referrals for adult clients if you would like to offer services to eap clients, https //form jotform com/230664448505155 o let us know whether or not you would like to be scheduled with eap clients how is working with eap clients through hopscotch different than insurance clients? there are several differences for providers to be aware of when choosing to work with eap clients eap sessions are 45 minutes in length and use a different cpt code than insurance you will use the 00000 cpt code and you will be reimbursed at your contracted rate with hopscotch for a 45 minute session any information you need to gather regarding the client's history and scope of problem is to be done during a regular session there are no intake session codes for eap each eap client has an authorized number of sessions through their employer once all eap approved sessions have been exhausted, many clients may opt to continue working with you using their commercial insurance for their subsequent sessions however, hopscotch must be in network with this insurance and you will need to be paneled with that insurance company each eap plan is different, however, for most eap's hopscotch providers may not be able to claim a "no show fee for missed sessions and late cancellations hopscotch will inform you before starting a relationship with an eap client if you must waive the no show fee, the number of eap sessions the client is approved for, and the client's ability to use insurance to continue sessions with you once eap authorized sessions have been complete you are not required to assign a dsm 5 tr diagnosis for a client using eap services you may use a z code however, you will need to be prepared to have a diagnosis once the client switches to using their insurance benefits for subsequent sessions if you would like to see eap clients, you will need to enable "easy scheduling" on your provider profile we have created this short “how to” video to walk you through setting up easy scheduling if you would like to see adult clients in addition to pediatric referrals for eap, you will also need to https //hipaa jotform com/assign/230306329117044/231107450671044 still have questions about eap's? contact clinicaloperations\@joinhopscotch com