Services not included in any of the program rates:

• Psychiatric services
• Personal expenses
• Pharmaceuticals
• Urine screening that requires additional laboratory testing
• Sub-Acute Care:
  This care is offered to a resident who presents with an increased need for supervision and support, and is initiated in response to concern for the resident’s safety.
• Line-of-Sight (LOS):
  Line-of-sight is our highest level of supervision for safety. This level of supervision occurs in an attempt to avoid admitting a resident to the hospital.
• 1:1 Staffing:
  This coverage affords individual staffing for services (e.g., escorting a resident to an appointment that is longer than one hour, such as a medical procedure, job interview, equine therapy, worship and/or an individual exercise-related activity).
• Transportation:
  Any extraordinary transportation costs will be charged additionally (generally we consider this to be a round trip exceeding 25 miles).
• Personal expenses (with your permission):
  Actual costs for clothing, driving lessons, outside courses, etc. Several times a year we plan a special ski/snowboard outing and will invoice the expense of rentals, lessons and lift tickets.

Collateral Services Not Included:
Will be billed to you separately by the collateral-service provider:

• Freedom Pharmacy: Residents must obtain medications from Freedom Pharmacy once their original supply has been used. Medications are sent to Spruce Mountain Inn pre-packed in ‘bubbles’ from the pharmacy. Charges may include both prescription medications and over-the-counter items required for the resident, as well as a service charge by the pharmacy for packaging and delivery to Spruce Mountain Inn.
• Plainfield Health Center:  Residents receive primary medical care from The Health Center. They will refer to other providers if necessary.

Any excluded expenses will be billed separately to parents, unless there is an agreement for residents to pay some of these costs from their own accounts.