Sand Creek

Network Guidelines

The primary goal of Sand Creek is to deliver healing. We want to work closely with you, the national providers, to make delivery of services to employees and family members a smooth and mutually rewarding operation. We welcome your comments, concerns, and suggestions. We look forward to working with you.

All employees and their family members must contact Sand Creek’s office for initial access to the National Provider Network. All employees have been provided with the telephone numbers of their EAP.

Sand Creek will perform an initial, brief intake and then refer the employee to a provider in their area. Should an employee erroneously contact the provider before contacting Sand Creek, they need to be referred to OR call 888.243.5744 so they can begin the intake process. It is a contractual obligation that all employees and family members be offered an appointment within two working days of their initial call for routine appointments. Emergency appointments will be offered within 24 hours of initial contact. Any deviations from these standards need to be reported to Sand Creek.

Providers are authorized to provide up to the number of authorized sessions for each client referred to them. In accordance with standardized EAP protocol, the authorized sessions are for assessment and referral to long-term counseling as required. Clients should be referred earlier when clinically justified. Payment for all sessions beyond the EAP assessment/referral are the responsibility of the client; therefore, caution must be used when making the referral so services are covered by the client’s medical insurance. To receive payment for EAP sessions, a fully completed Sand Creek billing form must be completed and submitted within 30 days of each session for reimbursement. Invoices received after 90 days (3 months) of the last session with reimbursed at 50% of the contracted rate. Invoices received after 120 days (4 months) will be reimbursed at 25% of the contracted rate. Invoices received after 150 days (5 months) will not be reimbursed. The billing forms are used for utilization reporting, and it is imperative that they be completed and returned in a timely manner.

When clients are given referrals, the provider is required to identify at least one other referral resource besides the providers own clinic or agency. To underscore the point, payment for all sessions beyond the EAP are the responsibility of the client, every attempt must be made to make a referral that is covered under the employee’s benefit plan. If that is not possible, the client should be given a referral to social services.

Providers must be aware when scheduling EAP clients that they need to allow for a minimum of 30 minutes between EAP clients. This is to protect their confidentiality and privacy by precluding meeting other employees at the provider site.