Employee Help Hub

Any crisis or high-risk situation, including SI, HI, hospitalization, child abuse reports, or other safety concerns, must be reported to the assigned supervisor immediately by phone when necessary. A safety plan must be completed for SI, HI, or self-harm, and an appropriate plan should be identified, such as increased sessions, referral out, warm handoff, or termination with referrals when safe.

Listed crisis numbers include 911; CAT Crisis and Assessment Team at 866-830-6011; Child Abuse Registry Hotline at 800-504-4000; Domestic Violence Hotline at 800-799-SAFE (7233); and Elder/Disabled Adult Hotline at 877-477-3646.

A safety plan is mandatory when a client has thoughts of self-harm or harming others and may also be created after crisis intervention. FYBC uses Simple Practice for safety planning.

A crisis may be a life-threatening emergency or a distressing event where there is a loss of control or function. Clients should generally be directed to crisis hotlines or emergency services during crises, but clinicians may need to be directive if the client contacts them.

Clinicians may coordinate care with outside providers when clinically appropriate and beneficial for treatment. If the client agrees, the client must sign an ROI authorizing communication, and the clinician and client should review what information will be shared.

Aetna EAP clients must be seen by a licensed clinician. Regular billing codes such as 90791, 90837, or 90834 may be used depending on the session time and what matches the service provided.

For Cigna EAP clients, clinicians should use CPT code 99404 for 45-minute sessions.

For EAP clients, clinicians must complete an intake assessment, diagnosis and treatment plan, ongoing progress notes, and discharge summary. EAP members can only use an authorization for one provider and generally receive two authorizations per year on a case-by-case basis under different presenting problems.

Documentation must be accurate and timely, fee decisions must be clearly indicated in notes, consistent attendance is required for continuation of services, and policies must be clearly communicated to clients.

Clinicians may log actual wait time up to 15 minutes as admin time, then proceed with the remaining billable session time. No time should be added if the clinician did not wait.