Payment and Insurance at Cascading Roots Counseling.

Private Pay

Cascading Roots is a private-pay practice, which means we don’t contract with insurance companies. We chose this so that decisions about your child’s care stay between you and your child’s counselor. When therapy is billed directly to insurance, a mental health diagnosis is typically required and becomes part of your child’s health record. Working outside of insurance gives your family more control over that information.

Payment is due at the time of each session. Payments are processed securely through our online client portal, and we accept all major credit cards.

Out-of-Network Benefits

Some insurance plans reimburse a portion of therapy costs when you see an out-of-network provider. If your plan includes this, we can provide a superbill, a detailed statement of services, to submit to your insurance company. It uses an ICD-10 code showing that a diagnosis is deferred, so no formal diagnosis is attached to the claim.

You’ll pay at each session, submit the superbill yourself, and your insurer will reimburse you directly. Before scheduling your free consultation, we encourage you to call your insurance company and ask whether your plan covers out-of-network mental health services and what percentage it reimburses.

Apple Health (Medicaid)

Because we’re a private-pay practice, we’re not able to see children covered by Apple Health (Washington’s Medicaid program). This includes Apple Health managed care plans. If that’s your child’s coverage, your health plan or the Washington State Health Care Authority can help you find in-network child mental health providers in your area area. We’re happy to answer any questions you have about finding the right fit.