Mental Health Treatment Providers Information
Crime Victim Compensation can only help victims begin their recovery from the trauma of the
crime. Fiscal limitations and the great need for victim services preclude its ability to assist victims throughout the entire recovery process. Of necessity, Crime Victim Compensation must concentrate on crisis intervention, rather than long-term service delivery.
NOTE: Please be aware that one of the funding sources for the Crime Victim Compensation fund is through restitution, which is frequently court-ordered to be paid back into the fund by the defendants in these cases. If you are receiving compensation funds for a client, please advise them that restitution may be sought from the defendant for their treatment.
Pre-Authorization and Evaluation
The Crime Victim Compensation Coordinator or his/her designee is authorized to grant approval for three initial sessions for the development of an Initial Treatment Report. Claimants will be provided a letter upon administrative approval to submit to the provider of their choice. Without the letter, there is no guarantee of payment by the Crime Victim Compensation Board. If treatment is not accessed within six months from the date of the initial authorization, the claimant may lose the guarantee and approval for treatment.
An Initial Treatment Report must be submitted and reviewed by the Board prior to the approval of any further funding. Reports received by the first of the month will be reviewed at the Board’s next regularly scheduled meeting. A SEPARATE AND COMPLETE REPORT must be submitted for each family member in treatment. Illegible or incomplete forms may slow processing, and new reports from providers may be requested. Forms must be TYPED. Answers should be provided on the FRONT SIDE of each page ONLY and, if additional space is needed, SEPARATE PAGES should be attached. Follow-up reports must be submitted prior to any additional sessions beyond the Board’s approved maximum limit.
As the Authorization to Release and Obtain Information explains, information will be kept confidential.
Authorization and Payment
Upon review by the Board, claimants and providers will receive written notice of the Board’s approval for services. The therapist must submit a monthly itemized bill by the first of each month to receive payment at the end of that month. BILLS RECEIVED AFTER THE FIRST OF EACH MONTH WILL NOT BE PAID UNTIL THE END OF THE FOLLOWING MONTH.
Certain financial restrictions have been established which limit maximum psychotherapy awards:
- INDIVIDUAL = $80 PER HOUR;
- GROUP = $35 PER GROUP;
- FAMILY = $100 PER SESSION;
- PSYCHIATRIC AND PSYCHOLOGICAL EVALUATIONS = $90 PER EVALUATION;
- 50 SESSION MAXIMUM PER CLAIMANT.
One initial allowance of twenty sessions may be approved by the Board. Upon request by submission of a follow-up treatment report, two extensions of 15 sessions may be approved. Significant events such as trial support or a defendant’s release from custody should be noted on the treatment report. Providers will not be compensated for professional consultations, missed or cancelled appointments, trial attendance, telephone contacts with victims, report writing or sessions past the maximum approved limit. (NOTE: Based on available information, some claims might receive an award less than the maximum award limit.
Crime Victim Compensation is a payer of last resort and all victims are required to first submit bills to their insurance company for payment. However, due to the increased limited coverage of mental health counseling by insurance companies, the Board does not require claimants to seek counseling through a network provider. If a provider is covered by the claimant’s insurance, either in or out of network, CRIME VICTIM COMPENSATION CANNOT MAKE PAYMENT UNTIL AN EXPLANATION OF BENEFIT IS RECEIVED BY OUR OFFICE FOR EACH DATE OF SERVICE. If insurance has denied the coverage, only one explanation of benefit showing the denial is necessary. Coinciding with Colorado Law, payment will only cover the amount designated on the EOB as the claimant’s responsibility.
Mental health claims will only be considered when treatment is being provided by an individual who is licensed by the appropriate state regulatory agency (in the state where they are providing mental health care), or when the treatment provider is under the direct supervision of one who is so licensed.
If you have any questions, please call the Crime Victim Compensation Program at (970) 356-4010, extension 4748.