You can accept vouchers
without joining anything.
Our voucher program lets you see clients who couldn't otherwise afford care — and receive a fixed payment for each session. No annual fee, no commitment, no strings.
What is the Voucher Program?
The Paperflower Foundation Voucher Program is a streamlined financial assistance pathway designed for providers who want to serve Foundation-supported clients without completing the full partner enrollment process.
The Voucher Program operates on a simple principle: any licensed provider in Arizona can accept a Foundation voucher on behalf of an approved client, receive a fixed flat-rate payment for that session, and do so without submitting paperwork, creating a Bill.com account, or entering into a formal agreement with the Foundation.
The Voucher Program exists because access to care should not depend on a provider's willingness or ability to complete an administrative onboarding process. If a client already has a provider they trust, and that provider is willing to accept a voucher, care can continue without interruption.
Two Pathways — One Mission
The Foundation operates two distinct provider pathways. Both serve the same goal — keeping clients connected to mental health care — but they serve different situations and carry different structures.
How It Works
Vouchers are issued directly to Foundation-approved clients following a needs-based review. Each voucher is single-use, tied to a specific client, and authorized for one session of care. Flat voucher rates are as follows:
-
Therapy session: $50
-
Medication management, medication check: $50
-
Psychiatric evaluation: $75
-
$400 annual cap per session
The voucher amount is accepted as payment in full or partial payment for that session. Providers can opt to collect additional amounts from clients.
To receive payment, providers submit a brief session confirmation, including the voucher number, date of service, and service type within 30 days of the appointment. No superbill, insurance form, or additional documentation is required. Payment is issued directly to the provider within 30 days of submission.
Looking for a Higher Reimbursement Rate?
Providers who enroll in the Paperflower Foundation Partner Program receive personalized reimbursement rates calculated at up to 75% of their self-pay rate per session which is significantly higher than the flat voucher amounts.
Partner providers also share other benefits and dedicated support from our team. If you are regularly seeing Foundation-supported clients or would like to formalize that relationship, enrollment in the Partner Program may be a better fit.
Please note that in order to receive a reimbursement rate, you must commit for 12 months.
Learn more about the Partner Program here.
● Program Features Breakdown ●
Enrollment required:
Yes, through the full credentialing packet
Agreement signed:
Partner Provider Agreement
Bill.com account
Yes, required for payment
Rate structure
Based on the lowest contracted rate, or 70% of self-pay
CPT code reviewed
No
Billing Submitted
Invoice submitted per session
Reimbursement level
Higher - reflects actual
contracted rates
Best for
Ongoing high-volume
relationships
Fraud protections
Full provider agreement
framework
Partner Provider Program
Enrollment required
No - nothing
required
Agreement signed:
No agreement required
Bill.com account
No - payment issued differently
Rate structure
Fixed flat rate regardless
of code
CPT code reviewed
No - flat rate covers any session
Billing Submitted
Foundation pays on voucher issuance
Reimbursement level
Lower - set
flat rate
Best for
One-time or occasional
sessions
Fraud protections
Client verification only
Voucher Program
Voucher Limits & Requirements ♦
*Voucher payments are capped at $400 annually per practice.
Once this limit is reached, the patient must either transition to a provider within the network or the provider
must join the program as a participating partner.
It should also be noted that, in accordance to IRS guidelines, any income over $600 will require a
completed W9 Form.
Who Can Accept A Voucher ♦
Any licensed mental health or behavioral health provider who is currently licensed in good standing in Arizona may accept a Foundation voucher. There is no application, no enrollment, and no waiting period.
Eligible Provider Types:
-
Licensed Clinical Social Workers (LCSW)
-
Licensed Professional Counselors (LPC)
-
Licensed Marriage and Family Therapists (LMFT)
-
Psychologists (PhD, PsyD)
-
Psychiatric Mental Health Nurse Practitioners (PMHNP)
-
Psychiatrists (MD, DO)
-
Occupational Therapists (OT) — for mental health purposes only
-
Licensed Associate-level clinicians when providing services within their supervised scope
Requirements ♦
To accept a Foundation voucher, a provider must:
-
Hold an active license in good standing with the applicable Arizona licensing board at the time the voucher is used.
-
Not be currently excluded from Medicare, Medicaid, or any federal or state healthcare program (Foundation may verify this independently).
-
Not have had a professional license revoked, surrendered, or suspended within the past three years.
-
Provide services within their licensed scope of practice.
Disclosure of affiliation with Foundation leadership is encouraged but not required for voucher providers.
The Foundation may note any known affiliations
for transparency purposes.
♦ How The Voucher Program Works ♦
Step 1
Client Applies and Is Approved
A client applies to the Paperflower Foundation through the standard application process.
The Foundation reviews the application and, if approved, determines whether the client qualifies for partner-funded services or a voucher.
The voucher pathway is offered when:
- The client's existing provider is not an enrolled Foundation partner
- The client has an established relationship with that provider and continuity of care is a priority
- The client's need is acute and waiting for provider enrollment is not clinically appropriate
● Voucher Rate Structure ●
The voucher flat rate is set by the Foundation's Board of Directors and reviewed annually. The rate is the same regardless of the CPT code billed, the session length, the provider's credential level, or any other factor.
The current voucher flat rate is
$50 per session/med check
$75 per psych eval
This rate will be published on the Foundation website and included
in every Voucher Authorization Letter.
Why the Flat Rate Is Lower Than the Partner Rate ♦
The voucher flat rate is intentionally lower than what enrolled partner providers receive. This reflects the difference in what the programs offer:
-
Partner providers complete a full enrollment process, accept compliance obligations, submit to billing code oversight, and maintain an ongoing administrative relationship with the Foundation. They are compensated at a higher rate because they carry more responsibility.
-
Voucher providers receive payment for a single session with no enrollment, no agreement, no billing submission, and minimal administrative burden. The flat rate reflects this.
Neither rate is meant to fully replace standard clinical fees. Both are intended to reduce or eliminate the portion of care costs a client cannot afford — not to substitute for the provider's full standard rate.
Balance Billing ♦
Providers accepting a Foundation voucher may charge the client any remaining balance above the voucher flat rate up to their standard session fee. Unlike the Partner Program, there is no balance billing prohibition in the Voucher Program.
Example: If the provider's standard fee is $150 and the Foundation voucher pays $50, the provider may collect the difference directly from the client. The Foundation's payment reduces but does not necessarily eliminate the client's out-of-pocket cost.
Client Verification & Fraud Prevention ♦
Because the Voucher Program does not require provider enrollment or a signed agreement, the Foundation's fraud prevention framework for this pathway relies on client-side verification rather than provider-side compliance documentation.
Verification Steps
-
Every voucher is issued with a unique ID number tied to the approved client.
-
The client receives a Voucher Authorization Letter that includes the session count and funding window. The client is expected to present this to their provider.
-
Before payment is issued, the Foundation may contact the client directly to confirm the session occurred. Providers are not notified of this verification step.
-
Payment requests that do not match a valid, active voucher ID will not be processed.
-
The Foundation reserves the right to verify the provider's license status through Arizona licensing board databases at the time of any payment request.
What Constitutes Fraud in the Voucher Program
The following actions constitute fraud or misrepresentation in the Voucher Program:
-
Submitting a payment request for a session that did not occur.
-
Using a voucher ID not associated with a client the provider has actually seen.
-
Requesting payment for more sessions than occurred within the authorized period.
-
Falsifying the date of service.
-
Misrepresenting licensure status at the time of the session.
Providers found to have engaged in voucher fraud will be reported to the applicable Arizona licensing board, barred permanently from the Voucher Program and the Partner Program, and subject to repayment demand and civil action as warranted.
Voucher Limits and Exclusions ♦
Session Limits
Each approved client receives a defined number of voucher sessions per funding period. The Foundation does not issue open-ended vouchers. The number of sessions authorized is listed in the client's Voucher Authorization Letter. Sessions used after the expiration date or beyond the authorized count will not be reimbursed.
What the Voucher Does Not Cover:
-
No-show fees, late cancellation fees, or administrative fees of any kind.
-
Telehealth platform fees billed as separate charges.
-
Services rendered before the voucher was issued.
-
Services rendered after the voucher expiration date.
-
Inpatient, residential, or crisis stabilization services.
-
Services by an unlicensed or provisionally licensed provider without proper supervision disclosure.
Voucher vs. Ongoing Partner Enrollment
Vouchers are intended for short-term assistance. If a provider expects to serve multiple Foundation clients on an ongoing basis, the Foundation strongly encourages enrollment in the Partner Program, which offers higher reimbursement rates, a structured billing process, and a more stable ongoing relationship.
Providers who regularly serve Foundation-supported clients through the Voucher Program may be invited by the Foundation to consider partner enrollment.
Questions & Answers
● Do I have to accept a voucher?
No.
Participation is voluntary on a per-client basis. If your schedule is full or a client isn't a clinical fit, you can decline. We'll work with the client to find another participating provider.
● How and when do I get paid?
After you submit a session confirmation (voucher number, date of service, service type), we process payment to you via your preferred method on file, typically check or ACH transfer. Payment is issued within 30 days.
● What if the client needs multiple
sessions?
We can't provide tax advice — please consult your accountant or tax professional.
Reduced-fee and charitable write-offs in clinical practice are common and well-established. We provide documentation of all voucher sessions to support your records.
● Is the write off tax deductible?
Each voucher covers one session. If a client needs ongoing care, they can apply for additional vouchers through our office depending on availability and need.
There's no limit on how many vouchers a client can receive over time, but each is issued and verified individually.
● Can I join as a partner later?
Yes.
If you decide to join as a member at any tier, we can update your reimbursement rate, even for a client who has previously used vouchers. We cannot pay retroactively for visits completed prior to membership approval.
● How long does payment take?
The Foundation issues payment within 15 business days of receiving a complete payment request. If there is a delay, the Foundation will contact you directly.
● Does it matter what
CPT code I use?
No.
The voucher pays a fixed flat rate regardless of the CPT code billed during the session.
You do not need to report the CPT code to the Foundation. Use whatever code is appropriate for your clinical documentation — the voucher payment is not tied to it.
● Can I bill the Foundation and the
client's insurance for the
same session?
No.
The voucher is intended to reduce what the client owes, not to supplement a full insurance reimbursement. If insurance covers the session, the client does not need a voucher for that session. You may not collect both a Foundation voucher payment and full insurance reimbursement for the same session.
● Can I charge the client a balance
above the voucher rate?
Yes.
You may charge the client any balance above the Foundation's flat voucher rate up to your standard session fee. The voucher reduces — but does not necessarily eliminate — the client's portion.
● Can I use the voucher for
telehealth sessions?
Yes.
Only if you are licensed in Arizona and the client is physically located in Arizona at the time of the session. Platform fees may not be billed to the Foundation separately.
● What if I want to become a
Partner Provider?
Contact us at partners@paperflowerfoundation.org.
Partner enrollment offers higher reimbursement rates, a structured billing relationship, and the ability to submit referrals directly on behalf of your clients. We will walk you through the process.