Accessibility & Community-Based Care

We practice accessibility & community-based care by offering the following:

Telehealth Services

As Montana continues expanding rural healthcare access through initiatives such as the Montana Rural Health Transformation Program and Montana State University’s Montana Office of Rural Health, Sub Rosa Therapy offers counseling and medication management services through Telehealth to help increase access to behavioral health and psychiatric care for individuals living in rural communities or those unable to commute to our office.

*To establish care for medication management, a copy of recent vital signs by your primary care provider (no older than 2 months) must be forwarded to our office, or the initial appointment must be attended in person (—this is necessary if a stimulant medication is to be prescribed).

Spravato® Access for Depression and Suicidality

We are proud to offer Spravato® (esketamine), an FDA-approved treatment for treatment-resistant depression and suicidality, which If a stimulant medication is to be prescribed, the initial appointment must be attended in person.

At Sub Rosa, all Spravato® sessions are attended by trained sitters, including both medical and mental health professionals, who help establish a safe and supportive set and setting. They also support clients in beginning to integrate the experience, so that the treatment can meaningfully contribute to the healing process.

Psychiatric Medication Management Services

Sub Rosa Therapy provides access to psychiatric medication management services through Alison Hall, PA-C, who is available for medication consultations and support when clinically appropriate. She provides holistic, whole-person care that integrates physical and mental health, and has experience in primary care and bioidentical hormone therapy. Alison also has the ability to order laboratory tests when appropriate. Alison’s unique role allows us to offer coordinated care to clients without direct intervention of a psychiatrist. Her role is not to replace your primary care provider, but to collaborate and work alongside them to support your overall well-being.

This service allows us to offer coordinated care to clients receiving therapy, particularly those covered by Montana Medicaid. By combining onsite medication support with affordable counseling options, our clinic meets the criteria for integrated behavioral health care under Medicaid guidelines.

At Sub Rosa Therapy, we provide outpatient psychotherapy and psychiatric services through an integrated model designed to support whole-person healing. We operate as a licensed outpatient behavioral health practice — not a licensed mental health center — maintaining full compliance with Medicaid regulations and Corporate Practice of Medicine (CPOM) standards. Our team structure ensures that both psychotherapy and medical services are available through appropriately licensed professionals, supervised and coordinated to meet the highest standards of care. By prioritizing affordable counseling alongside medical services, we aim to reduce cost-related barriers for those seeking support.

Comprehensive Medical Billing

We offer full-service billing support to reduce administrative barriers and ensure clients can access care through their insurance plans whenever possible. This also helps us keep counseling services affordable and accessible to the community.

Sub Rosa has established contracts with most private insurance providers, as well as federal Medicare, Montana Medicaid, and VA TRICARE programs, expanding access to services for a broad range of clients. Our ability to accept insurance plays a crucial role in maintaining affordable counseling and therapy options.

Learn more on our Pricing & Insurance page.

Package Pricing for Ketamine-Assisted Therapy (KAT)

We believe cost should not prevent individuals from accessing meaningful mental health care. Group ketamine-assisted therapy (KAT) sessions can offer a more financially accessible way to experience the potential benefits of KAT while also creating opportunities for connection and shared support.

Participating alongside others navigating similar challenges can help reduce isolation and foster a sense of community, understanding, and shared resilience. For many individuals, the communal nature of group KAT can deepen the therapeutic experience through collective healing, reflection, and interpersonal support.

Scholarship Programs for Counseling and Ketamine-Assisted Therapy (KAT)

We offer need-based scholarship applications for clients working with Sub Rosa therapists who are seeking counseling and/or ketamine-assisted therapy (KAT). This model supports our ongoing effort to offer affordable counseling options even in specialized care settings. We maintain active partnerships with scholarship programs like Suffer Out Loud (Bozeman, MT) to support access to counseling and Thank You Life (Austin, TX) to support access to psychedelic therapy. If you think you may qualify, please reach out to us directly.