Lizotte Clinical, LLC — Adolescent, Family & Court-Involved Therapy

Superbilling

Commercial Insurance Reimbursement

Use the billing codes listed by service when submitting for out-of-network reimbursement. A superbill will be provided to you. Please note that it is likely that only a portion will be reimbursed by your insurance company.

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Before you submit a superbill:

Please check with your insurance provider before submitting a superbill. Check frequency limits for claims and utilization rates.

Paying with an HSA or FSA card:

HSA and FSA cards are accepted through Jane Payments, but approval is decided by your card issuer and is not guaranteed. Please confirm with your plan administrator which services are eligible medical expenses. Court, forensic, and legal services and clinical supervision are often not eligible. A backup credit or debit card is required on file in case an HSA/FSA card is declined. If a card is declined, contact your card issuer directly for the reason.

Telehealth Outpatient & Core Therapy

  • Diagnostic Intake & SUD Assessment (60–75 min)

    Billing Code:
    90791

  • Individual or Family Therapy Session (50 min)

    Billing Codes:
    90834or90847(family format)or90846(collateral format)

In-Home Stabilization Tracks

  • Tier 1: Standard In-Home Stabilization

    Billing Codes (for superbilling):
    90847(family session with youth present)or90846(family/collateral session without youth present)

  • Tier 2: Specialized & High-Acuity Acute Crisis Bridge

    Billing Codes (for superbilling):
    90847or90846

After-Hours, Crisis & Care Coordination Services

  • After-Hours & Weekend Crisis Phone Consultation

    Billing Codes:
    98966(5–10 min)or98967(11–20 min)or98968(21–30 min)

Group Classes & Programs

  • Teen Sobriety & Accountability Group

    Billing Code:
    90853(Group Psychotherapy)

  • Parent Co-Regulation & Household Rules Group

    Billing Codes:
    90849(Multiple-Family Group Psychotherapy)or90853

MaineCare and Private Practice Billing & Financial Disclaimer:

  • Non-Participation Status: This independent private practice operates exclusively as a private-pay and out-of-network provider and is not an enrolled participant in the MaineCare (Medicaid) network.
  • Ineligibility for State/Medicaid Claims: Services rendered within this private practice cannot be billed to MaineCare. Clients enrolled in MaineCare cannot utilize MaineCare benefits, state-funded program codes, or insurance reimbursements for services provided under private practice contracts.
  • Restriction on H-Codes: HCPCS behavioral health codes (H-codes) and state-specific program encounter codes are restricted to certified institutional agencies and state-contracted organizations. They cannot be generated, provided, or accepted on private practice invoices or superbills.
  • Full Financial Responsibility: Clients covered by MaineCare who choose to receive services through this practice do so strictly as private-pay clients, assuming full financial responsibility for all private fees, weekly retainers, and private service agreements without expectation of state or Medicaid reimbursement.