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The fee, disclosed before treatment as the statute requires, with the policies and the estimate notice on one page.

Failing to disclose the fee, or the basis on which it is computed, before treatment begins is unprofessional conduct for every license the Board issues. A self-pay client is also owed a prominent notice that a good faith estimate is available, and CMS publishes the text. This page prints both, with your cancelation, insurance, telehealth and payment terms in your own numbers.

Your terms →
4  statutes with the fee-disclosure duty$400  the estimate dispute threshold the notice states0 data sent · private by default

Your terms

The fee, the scale, the policies.

The statute requires the fee or its basis; everything else here is your policy, stated so the client can read it before the first session. What a missed session costs you, and what a policy recovers, is on the no-show calculator; what a reduced slot costs after tax is on the sliding-scale calculator.

01The statement, as it will print
02Then the estimate notice, in CMS’s words

“You have the right to receive a ‘Good Faith Estimate’ explaining how much your health care will cost” — the model notice, printed in full beneath your policies. HHS says using the model text is good-faith compliance with the duty to tell self-pay clients the estimate exists; the estimate itself is a separate document, from the estimate builder.

The rule

Four statutes for the fee, one regulation for the notice, one letter for Medi-Cal.

1The fee, or its basis, before treatment.

Among the acts the licensing statutes list as unprofessional conduct: “Failing to disclose to the client or prospective client prior to the commencement of treatment the fee to be charged for the professional services, or the basis upon which that fee will be computed.” B&P §4982(n) for marriage and family therapists; §4992.3(o) clinical social workers; §4999.90(n) professional clinical counselors; §4989.54(o) educational psychologists.

2The estimate notice, displayed and given.

Information regarding the availability of a good faith estimate must be “written in a clear and understandable manner, prominently displayed” on the website and in the office, and provided orally when scheduling or when cost is discussed. 45 CFR 149.610(b)(1)(iii). CMS’s model notice: “HHS considers use of the model notice to be good faith compliance.”

3Missed appointments and Medi-Cal.

Mental Health Plans and their providers may not bill Medi-Cal beneficiaries for missed appointments (DMH letter 02-07, 19 November 2002; 9 CCR §1810.365). Medicare permits a missed-appointment charge only if it is the same for everyone (CMS MM5613), which is why the statement charges one figure.

Then what

The documents around the fee.

The estimate itself

The good faith estimate builder

Every element 45 CFR 149.610 lists, printed.

Raising the fee later

The fee-increase calculator

Break-even attrition, and the disclosure statute for every license.

What the policy is worth

The no-show and cancelation-policy calculator

What a missed session costs and what a policy recovers, with the Medi-Cal rule.

The other notice

The Notice to Clients generator

The Board’s complaint notice, in the statute’s words.

Where every figure came from

Sources.

Nothing typed leaves the browser. The fee sentence and the policies are this site’s wording around your numbers; the estimate notice is CMS’s model text, unchanged.

Source links

This page links to official or statutory references. Check the relevant source and its date; links alone do not document a review.

You should not have to work this part out on your own.

Once a month: free tools and apps worth having, better ways to run the admin side of a practice, what other California therapists are actually doing, and anything new here that might save you an afternoon.

About monthly. One click to leave. Never sold, never shared. The consent box is separate and unticked because California requires it — and because it should be.