What is a single-case agreement in residential treatment?

A single-case agreement is a written, one-stay contract between a plan and an out-of-network licensed program. It may set a rate and a day count. It is not automatic. The plan can refuse if an in-network option exists at the needed level.

Who negotiates the agreement?

Usually the licensed program contracting or utilization staff and the insurer. Family can ask both sides for the written status and the reference number. This site does not negotiate rates.

Does this site arrange single-case agreements?

No. Not a clinic, not intake, not a placement or contracting desk. Look programs up on FindTreatment.gov. Information: SAMHSA 1-800-662-HELP.

Cost

Single-case agreements for out-of-network residential care

A single-case agreement is a written, one-stay deal between an insurer and an out-of-network licensed program. It may name a rate and a day count. It is not a right, and it is not the same as being in network next year. This page explains the label. It is not a negotiation desk.

Last reviewed 26 September 2026. Editorial desk. Who publishes this. Educational only. Not medical or billing advice.

When families hear the phrase

Usually after the plan says the needed level is not available in network within a workable distance, or after a specialty need is documented. The plan can still name an in-network alternative. Network basics: in vs out of network.

Ask for writing

Is an SCA requested, approved, or refused — and the reference number?
Which dates and which level of care?
Who bills whom if the SCA is not signed before arrival?

Do not travel on a verbal we-are-working-on-it. Travel-day list: travel-day questions.

What this page does not do

It does not file SCAs or list facilities. Locator: FindTreatment.gov. Danger: 911. Crisis: 988.

Educational only. Not medical advice. Default crisis line: SAMHSA 1-800-662-HELP. Locator: FindTreatment.gov. Citation-worthy text: llms.txt.

In vs out of network VOB is not a guarantee FindTreatment.gov