Good Faith Estimate for Outpatient Recovery Services
NewLeaf Recovery Services will provide transparent cost estimates for substance use disorder treatment in Lansing, Michigan when we open soon. Founded by Tamesha Porter-Grljusic, who brings nearly 20 years of healthcare experience to the Greater Lansing community.
If you or a loved one is in crisis, call 988 or text 988 — the Suicide & Crisis Lifeline.
For questions about our upcoming services, contact NewLeaf Recovery Services at 517-908-0162 .
Purpose & Scope
This Good Faith Estimate serves to provide uninsured and self-pay patients with transparent cost information for outpatient substance use disorder treatment services. Under federal law, healthcare providers must furnish cost estimates within required timeframes to ensure patient financial responsibility is clearly understood before treatment begins.
The scope of this estimate covers:
This estimate applies to patients who are uninsured or choosing to pay out-of-pocket for services. We accept Medicaid and self-pay. Additional insurance plans are being added through credentialing.
1. Medication-assisted treatment services using Suboxone-based protocols
2. Individual and group counseling sessions
3. Case management and care coordination services
4. Initial assessments and ongoing clinical evaluations
Information Covered
Our Good Faith Estimate includes comprehensive cost information for all anticipated services during your treatment episode. The estimate encompasses both direct clinical services and associated administrative processes necessary for quality care delivery.
Services covered in the estimate include:
The estimate reflects current service pricing and may be updated based on changes in treatment needs, service frequency, or regulatory requirements. Additional services requested during treatment may require supplemental cost estimates.
1. Clinical assessments and diagnostic evaluations
2. Medication-assisted treatment consultations and monitoring
3. Individual therapy and counseling sessions
4. Group therapy participation
5. Case management services and treatment planning
6. Coordination with external healthcare providers when necessary
How We Use & Share Information
Good faith estimates will be calculated to help you understand potential treatment costs before beginning care. Our upcoming estimation process will involve careful review of clinical needs assessment and evidence-based treatment protocols for substance use disorders.
Our planned estimation process will include:
Cost estimate information will be shared only with the patient or their authorized representative. We will maintain strict confidentiality protections under HIPAA and 42 CFR Part 2 regulations. Estimates may be updated and re-shared if treatment plans change significantly or if additional services become necessary during the course of care.
1. Review of initial clinical assessment findings
2. Application of current service rates and fee schedules
3. Consideration of typical treatment duration for similar cases
4. Integration of any specialized services or accommodations needed
Your Rights & Choices
Under the No Surprises Act, patients have specific rights regarding cost estimates and billing disputes. You have the right to receive a Good Faith Estimate before scheduling services and to understand your financial responsibility for treatment.
Your rights include:
You may choose to proceed with treatment, modify the treatment plan, or seek services elsewhere based on the cost estimate provided. We are committed to transparent communication about all costs associated with your care and will work with you to address any concerns about treatment expenses.
1. Receiving cost estimates within federally mandated timeframes
2. Requesting updated estimates if treatment plans change
3. Disputing charges that exceed the estimate by substantial amounts
4. Accessing patient-friendly dispute resolution processes
5. Receiving clear explanations of billing and payment policies
Limits & Exceptions (Law / safety)
Limits & Exceptions
Good Faith Estimates are subject to certain limitations and exceptions as defined by federal regulations and clinical safety requirements. Estimates represent anticipated costs based on standard treatment protocols and may vary if clinical circumstances change during treatment.
Limitations include:
Legal and safety exceptions may apply when:
We will provide updated estimates when significant changes occur and maintain compliance with all applicable state and federal regulations governing substance use disorder treatment.
1. Emergency services or crisis interventions may incur additional costs
2. Changes in treatment intensity based on clinical progress
3. Additional services recommended for patient safety or clinical effectiveness
4. Coordination with external providers for specialized care needs
5. Mandatory reporting requirements necessitate additional documentation
6. Court-ordered treatment modifications require service adjustments
7. Medical emergencies require immediate intervention beyond planned services
How To Contact Us About This Document
For questions about this Good Faith Estimate or to request cost information for upcoming services, contact NewLeaf Recovery Services at 517-908-0162 . We will provide detailed explanations of cost estimates and billing policies when services begin.
We are available to discuss payment options, insurance coverage, and financial assistance programs that will be available for your treatment needs.
Changes To This Document
This Good Faith Estimate policy may be updated to reflect changes in federal regulations, service offerings, or pricing structures. We will notify patients of significant changes that may affect cost estimates for ongoing or planned treatment services.
Updates to this document will be posted on our website and made available to patients upon request. The effective date of any changes will be clearly indicated, and patients will receive updated cost estimates if policy changes affect their anticipated treatment costs.
We maintain compliance with evolving healthcare transparency requirements and will adjust our estimation processes as needed to meet regulatory standards and patient protection guidelines under the No Surprises Act and related federal healthcare legislation.
Frequently Asked Questions
Once NewLeaf Recovery Services opens, you will receive your Good Faith Estimate within the timeframes required by federal law, typically before scheduling services or within three business days of scheduling, depending on the timing of your request.
If your final bill exceeds the Good Faith Estimate by substantial amounts as defined by federal regulations, you will have the right to dispute the charges through patient-friendly dispute resolution processes.
The estimate will include anticipated costs for standard treatment services. Additional costs may apply for emergency services, significant changes in treatment plans, or specialized services not included in the original assessment.
Yes, you will be able to request updated cost estimates if your treatment plan changes significantly or if additional services become necessary during your course of care.
We accept Medicaid and self-pay. Additional insurance plans are being added through credentialing. Contact us to discuss payment arrangements and potential financial assistance options for when services begin.
Telehealth services may be available. Contact NewLeaf Recovery Services for current availability and associated costs for virtual treatment options.
Ready to learn more about upcoming services? Call (517) 555-0123 to join our waitlist or request information about Good Faith Estimates.
Q. When will I receive my Good Faith Estimate?
Once NewLeaf Recovery Services opens, you will receive your Good Faith Estimate within the timeframes required by federal law, typically before scheduling services or within three business days of scheduling, depending on the timing of your request.
Q. What if my actual costs differ from the estimate?
If your final bill exceeds the Good Faith Estimate by substantial amounts as defined by federal regulations, you will have the right to dispute the charges through patient-friendly dispute resolution processes.
Q. Will the estimate include all possible costs?
The estimate will include anticipated costs for standard treatment services. Additional costs may apply for emergency services, significant changes in treatment plans, or specialized services not included in the original assessment.
Q. Can I request an updated estimate if my treatment plan changes?
Yes, you will be able to request updated cost estimates if your treatment plan changes significantly or if additional services become necessary during your course of care.
Q. What payment options will be available?
We accept Medicaid and self-pay. Additional insurance plans are being added through credentialing. Contact us to discuss payment arrangements and potential financial assistance options for when services begin.
Q. Will telehealth services be included in cost estimates?
Telehealth services may be available. Contact NewLeaf Recovery Services for current availability and associated costs for virtual treatment options.