Assessment Description:
A managed care clinician completed a utilization review and has just denied authorization for you to continue treating a client. You believe that the client could benefit from four additional sessions. At the same time, you understand that the managed care clinician must apply criteria of medical necessity to justify continued treatment, and you are aware that many of your agency's clients have problems much more severe than your client's. Make a list of all of the ways that you could try to ensure that the managed care system does not prevent you from giving your client the type and duration of treatment services that they need. How can you advocate for your client? Categorize each of the items into two groups reflecting those that would be considered professionally appropriate and ethical, and those that would be considered a violation of professional ethical standards.
In your response, you must include the specific code(s) from the ACA Code of Ethics or the ASCA Ethical Standards for School Counselors that address the concerns raised in the case. Be sure to provide the full text of the code followed by an in-text citation and a full reference at the end of your response. Need Assignment Help?
To strengthen your response, you may also include citations and references from the Corey text or other assigned readings relevant to the topic.
This discussion question is informed by the following CACREP Standards:
2.F.1.e. Advocacy processes needed to address institutional and social barriers that impede access, equity, and success for clients.
5.C.2.m. Record keeping, third party reimbursement, and other practice and management issues in clinical mental health counseling.