Matrix EAP sessions must not be utilized more than once within a 7 day period. EAP’s are set as a short-term mental health benefit, so we ask that sessions are spaced out at least bi-weekly as to not rush through sessions.
Regarding clients with Matrix Plus Sessions (i.e., 6+3), they are approved for 6 sessions plus 3 additional once-a-month sessions. For billing purposes, our hourly rate is based on a CPT code for 45-50 minutes. No individual date of service will be approved for longer than one hour. Sessions should not be scheduled at intervals of less than seven days without prior written approval. If a client is in crisis and needs to be seen sooner, please contact Matrix directly. Ensure this is documented on the reimbursement form when submitted.
To streamline billing, therapists are encouraged to complete the EAP Provider Reimbursement Form, which is straightforward and user-friendly. This form should be completed and returned to us at least once a month, if not more frequently. Our reimbursement system operates on a check-and-mail basis, with reimbursements issued weekly on Wednesdays.
Regarding “NO-SHOWS” and same-day cancellations, please note that billing the client for no-shows or late cancellations is not permitted. However, these appointments can be counted toward the total number of EAP visits a client is entitled to. On your reimbursement form, mark them as (N) for “no-show” or (C) for same-day cancellation. This policy does not apply to clients who cancel at least 24 hours in advance or provide a satisfactory explanation for the cancellation.
