Case Management

About Case Management

USU case management services may be used when someone has specific care needs, is ineligible for CAPS therapy services, or is searching for an off-campus therapist and needs support in navigating referral options and health insurance coverage. A USU staff therapist may also recommend that a client meet with a case manager to help with transition of care. USU students may want to request a case management appointment if they are nearing graduation, taking a leave of absence from the university, or are in need of a long-term therapist outside of CAPS.

Case management assists clients in identifying services within USU campus or the greater community, including statewide campus communities. Please be aware that the case manager may not be familiar with resources in all areas throughout the state. A case manager helps to match the client with a therapist specific to the client's needs, provides support in scheduling appointments with the community provider, discusses insurace benefits and coverage, and follows up with the student to confirm that the referral was successful.

Students may also search for a provider on their own using Thriving Campus. Thriving Campus is a HIPPA compliant web application used by schools around the country to help students access off-campus mental health referrals within and around their community.

**If you don't have insurance, there still may be options for help such as Medicaid or sliding fee scales. The CAPS case manager can meet with you to answer questions about these options.

To schedule an appointment with a case manager, please call 435-797-1012. Please come to the case management appointment with your insurance information.

International Resources

Please be aware that USU does not create or maintain any resources in the list below, therefore, it is not guaranteed that the information is consistently updated.

Using Your Insurance Benefits

Some students have insurance through their parents or significant other. If this is the case, contact that person to learn who the insurance company is along with answers to the questions below (see Tips for Contacting Your Insurance).

Tips for Contacting Your Insurance:

  • It's recommended that you check with your insurance provider to verify in network providers. The phone number can be located on the back of your insurance card.
  • When you call, be sure to have your insurance card with you because they will likely ask for the Member ID number on the card or your social security number
  • .
  • Questions to ask:
    • “I'm looking for coverage and benefits for mental health services. Is that something you can help me with?”
    • “What is my deductible?”
    • “How much of my deductible has been met?”
    • “Is there a co-insurance?”
    • “Will there be a co-pay?”
    • “What can I expect to pay per session?”
    • “Is pre-authorization required?”
  • Insurance can be really confusing to anyone. If you don't understand the information, let them know and ask them to break it down for you.

Frequently Used Insurance Terms:

Deductible: the amount you must pay before your insurance company starts to pay for covered services each year. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. This amount resets each year, depending on your insurance. The reset dates are either on January 1st or July 1st. After you pay your deductible, you usually pay only a co-payment or co-insurance for covered services. Your insurance company pays the rest.

Co-pay: a fixed amount paid for covered services like doctors' visits. Some insurance companies have different co-payments for different types of service or doctors. Please note that mental health providers may be considered 'specialists' by some plans, and could have a higher co-payment.

Co-insurance: the percentage of a medical expense that you are responsible for paying. This usually applies after a deductible has been met. For example--if you have a 20% coinsurance, and the cost of services is $200, your cost would be $40.

Explanation of Benefits (EOB): Every time services are provided, doctors and other medical professionals will submit claims to patients' insurance companies to receive payment. The insurance company will then send out an EOB to the member, which provides details about a claim that has been processed and explains what portion was paid to the health care provider and what portion of the payment, if any, is the patient's responsibility. The EOB is not a bill. Generally, EOBs are sent to the primary subscriber of the insurance plan.

Super Bill: an itemized form used by healthcare providers for reflecting rendered services. It is the main data source for creation of healthcare claim, which will be submitted to payers (insurances, funds, programs) for reimbursement.

Network: The facilities, providers and suppliers your health insurer or plan has contracted with to provide health care services.

  • 'In Network' provider: providers whose services are contracted with/covered by your health plan
  • 'Out of Network' provider: providers whose services are not contracted with your insurance plan. Some plans offer 'out of network' benefits, meaning that the plan will cover some of the cost of these providers. Please note that the initial payment for the full cost of services is the responsibility of the individual receiving services, and is paid at the time services are rendered. This can be a large expense. Out of network providers may offer a 'super bill' that can be submitted by the member for insurance reimbursement.

Behavioral Health: term used interchangeably with mental health. Some insurers will use mental health, others will use behavioral health, to describe services.

Pre-Authorization: depending on your insurance plan, you may need to obtain authorization--get approved--for services before starting treatment.

Frequently Asked Questions About Insurance:

Will my parents or significant other know that I am going to therapy?

While confidentiality of mental health services is legally protected, the person who is the primary member of the insurance will receive an Explanation of Benefits (EOB) statement detailing which provider was used, date of service, the cost of service, the amount insurance covered and any remaining amount that is due. For more details about what will be listed on the EOB, please contact your insurance provider.

What's the difference between the different kinds of mental health providers?

  1. Mental Health Providers for Counseling
    • PhD and PsyD (Psychologist with a doctorate, should indicate licensure status)
    • LPC (Licensed Professional Counselor)
    • LCSW (Licensed Clinical Social Worker)
    • CSW (Certified Social Worker who has completed educational requirements and working towards LCSW license)
    • LMFT (Licensed Marriage and Family Therapist)
    • LAMFT (Licensed Associate Marriage and Family Therapist who has completed educational requirements and working towards LMFT license)
    • LCMHC (Licensed Clinical Mental Health Counselor)
    • ACMHC (Associate Clinical Mental Health Counselor working towards LMCHC license)
  2. Mental Health Providers for Medication
    • Psychiatrist (MD or DO) or Psychiatric Mental-Health Nurse Practitioner
    • Some Family Doctors and Primary Care Physicians will prescribe medication for anxiety and depression

What if my therapist doesn't seem like a good fit?

It can take time to get comfortable with your therapist, but definitely follow your intuition. If you don't feel that your therapist is someone you will trust and be able to open up to, it may be a good idea to express that in your session. Your therapist may have a suggestion for another provider that could meet your needs. Sometimes clients don't feel comfortable with having that conversation, and that's okay. You are welcome to search for another therapist.