Fast-Track Suboxone

FL Telehealth Referrals:

+SBIRT? ER/In-Patient or Acute

Setting Discharge?

Outpatient Referral Management for Care Transitions & Medical Provider Clinics Statewide

InChargeClinic provides an immediate, streamlined solution for your patient care transitions:

• Seamless Outpatient Transitions: Rapid virtual onboarding from ERs, detox centers, acute care settings and IOP facilities.

• SBIRT Warm Handoffs: Instantly fulfills the Referral to Treatment (R) component for your medical clinic.

• Fast-Track Suboxone: Reliable continuity of care for adults requiring outpatient Buprenorphine maintenance and comprehensive MAT.

⚠️ Closing the High-Risk Discharge Gap

We understand that the window between leaving an in-patient facility, detox, acute care setting or ER and starting outpatient care is a critically dangerous period.

Our fast-track system is built specifically to address this safety gap, reducing the risk of patient overdose and preventing unnecessary re-admissions.

To this end, if there is any possibility the patient may be out-of-network please request a "Network Gap" prior to their departure from your facility. Please see below for additional details.

📅 Immediate Appointment Scheduling & Onboarding Sequence

To reduce the discharge gap danger and speed up the care transition, you do not have to wait for us to process the paperwork to lock in a time:

1. Direct Online Scheduling: You or the patient can visit our Appointment Request Page

   right now to select an intake slot.

2. Instant Registration Pop-up: Once an appointment is selected, the official registration page will automatically pop up. If you have submitted medical documentation and demographics many of the questions may be skipped.

3. Portal Invitation & Consents: Once the registration is submitted an invitation to our secure portal will immediately be sent via email and text to the patient's cell phone. This allows them to sign consents and provide additional info to expedite new patient onboarding.

4. In addition to providing telehealth visits within the portal, additional options for visits include automatically sending the patient a url link so they can join straight from a text or email.

🛠️ Required Referral Documentation & Contact Fields

To expedite screening for medical eligibility for telehealth MAT, please submit the following documents via secure email, or fax:

• Referral Order / SBIRT Screening Note (Signed by an MD, DO, NP, or PA)

• Patient Demographics (Face sheet / insurance information-front & back FL ID & insurance)

• Recent Provider Notes (H&P, discharge note, or clinical assessment summary)

• Recent Labs & Diagnostics (Urine Drug Screen and any other pertinent clinical diagnositics)

• Required Patient Contact Info: A working patient direct cell phone number and/or active patient email address must be included on the form below so we can deliver the secure portal invitation, consents & provide the video visit.

• Network Gap Reference #, Insurance Staff Name, & Date if suspected out-of-network status.

💳 Insurance, Cash, & Billing Verification

We eliminate administrative bottlenecks to ensure patients maintain timely continuity of outpatient care while assisting your clinic in meeting Managed Care Organization (MCO) and Medicare compliance metrics.

• Insurance Verification & Co-pays: We verify all active insurance policies. We require a valid credit or debit card on file from the patient to cover any applicable insurance copays (this information is entered in the initial registration process)--we do not charge without notifying the patient/card holder first of the amount.

• Automatically Accepted Plans: Medicare, Florida Medicaid, and Commercial PPO Plans.

• Accessible Cash Schedule: For uninsured, self-pay or those that wish to pay then self-submit to their insurance we offer a straightforward, accessible fee schedule. Patients can quickly pay online to confirm appointments or be billed via invoice for ongoing care.

• 🛑 Out-of-Network Fast-Track (Preventing Overdose & Unnecessary ER Visits & Re-Admissions):

  
  Out-of-network status causes dangerous, avoidable delays during the vulnerable gap between facility discharge and outpatient care. This administrative delay leaves patients exposed to return-to-use at a time when reduced tolerance drastically amplifies the risk of fatal overdose. To reduce overdose risks and avoid unnecessary returns to ER and acute care admissions, please follow these steps immediately to eliminate the coverage gap:

  1. Call the insurance phone number located on the back of the patient's card.

  2. Request a "NETWORK GAP" authorization for InChargeClinic (NPI (Organization): 1093448102 or
     NPI (Individual): 1205877560) to provide telehealth MAT ASAP (please let us know follow-up time recommended below-less than 10 days).

  3. Obtain the reference or authorization number from your call and request.

  4. Provide it to us: Please include this number in your urgent referral fax or email and checklist below, it may also be typed directly into the scheduling registration pop-up noted above, or include it with the patient demographics sent via fax or email to referral@inchargeclinic.com.

Please complete the referral checklist below in order to assist in reducing the time gap between discharge and 1st outpatient telehealth follow-up visit and submit. Please contact us directly any questions--we are happy to add you to our contact list. Thank you!

🛡️ General Medical Disclaimer

InChargeClinic, LLC provides 100% telehealth medical management (no in-person services) for substance use disorders. Submitting an outpatient referral form, documentation, or contacting the clinic does not guarantee patient acceptance, treatment, or the immediate establishment of a provider-patient relationship. All care transitions are subject to clinical review and individual provider approval.