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The staff at UTEAP would like to extend an invitation to you to join our EAP Preferred Provider Network. UTEAP provides services throughout the United States and is currently accepting applications from providers in most geographic areas. You are welcome to contact our Provider Relations staff at (800) 346-3549 to determine if we are recruiting in your area.

Our reimbursement rates are competitive and are presently set at $65 per visit for Masters-level counselors and $75 per visit for Doctorate-level counselors.

Upon completion of EAP assessment services, you will only be expected to complete a short Client Record and Billing Form. This form serves the dual purpose of clinical documentation of the case and billing for your services. No separate billing forms are required and you can expect to receive payment in a maximum of four weeks.

In order to join our network, please complete the Provider Application below. You will also need to submit the following:

  • A completed W-9 form for each location in which you practice
  • A photocopy of your most recent state license
  • Proof of malpractice insurance

Click here to download the UTEAP Provider Application.

You may return the completed Provider Application via fax or mail.

Mail:
UT Employee Assistance Program
Attention: Provider Relations
7000 Fannin, Suite 1670
Houston, Texas 77030

Fax:
(713) 500-3330