With the exception of Kaiser Permanente Health Insurance, Portland Anxiety Clinic is an out-of-network provider and payment is due from the client at time of service.  Many insurance plans reimburse for therapy services received from out-of-network providers, including telemental Heath services.  If you would like to submit claims for reimbursement, please contact your health insurance company before beginning treatment and ask the following:

• Does my insurance plan have out-of-network mental health benefits?
• What percent of treatment is reimbursed per visit for an out-of-network provider for CPT code 90791 and place of service code 02-telehealth?
• What percent of treatment is reimbursed per visit for an out-of-network provider for CPT code 90837 and place of service code 02-telehealth?
• What is the dollar amount recognized per visit for CPT Codes 90791 & 90837 and place of service code 02-telehealth (usual and customary rate or UCR)?
• What forms do I need to submit for reimbursement? 
• How do I submit my claims (mailing address/fax number/website)?

Every state in the US has its own laws regulating the practice of psychotherapy. States all limit the practice of psychotherapy to clinicians licensed in their specific state. At the Portland Anxiety Clinic, our clinicians are able to legally provide telemental health services in:

• Oregon
• Illinois

There are often fewer legal restrictions for treatment of clients living outside the US because many countries do not regulate the practice of psychotherapy.  If you live outside the US and are interested in telemental health services, please contact us. We will verify if we are able to work with you.

Telemental health is a great option for individuals who:

• Experience limited mobility due to physical, psychological, work-related, or financial constraints
• Live in areas where it is difficult to find a clinician who is and expert in treating OCD, anxiety and related conditions

Telemental health is a not an appropriate option for individuals who are:

• Actively suicidal
• In acute crisis
• Struggling with severe substance related or additive disorders

There is substantial research evidence supporting the use of telemental health for the treatment of OCD, anxiety, and related conditions. Included below are a few examples, out of the hundreds of research studies available, that support the efficacy of telemental health:

Wolters, L. H., op de Beek, V., Weidle, B., & Skokauskas, N. (2017). How can technology enhance cognitive behavioral therapy: the case of pediatric obsessive compulsive disorder. BMC psychiatry, 17(1), 226.

Carlbring, P., Andersson, G., Cuijpers, P., Riper, H., & Hedman-Lagerlöf, E. (2018). Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis. Cognitive Behaviour Therapy, 47(1), 1-18.

Wootton, B. M. (2016). Remote cognitive–behavior therapy for obsessive–compulsive symptoms: A meta-analysis. Clinical Psychology Review, 43, 103-113.

Patel, S. R., Wheaton, M. G., Andersson, E., Rück, C., Schmidt, A. B., La Lima, C. N., … & Simpson, H. B. (2018). Acceptability, feasibility, and effectiveness of internet-based cognitive-behavioral therapy for obsessive-compulsive disorder in new york. Behavior therapy, 49(4), 631-641.