UMR Coverage for Adolescent Treatment

Silver State accepts UMR for adolescent residential treatment for teens ages 11-17.

What UMR Typically Covers

UMR is a third-party administrator (TPA) and a subsidiary of UnitedHealth Group that manages self-funded employer health plans. UMR administers benefits for employers who choose to self-insure rather than purchasing traditional group health insurance. Because UMR plans are employer-designed, coverage details vary significantly between plans.

Most UMR-administered plans include behavioral health coverage for dependents, including adolescent mental health and substance use disorder treatment. Under the Mental Health Parity and Addiction Equity Act, self-funded plans administered by UMR are generally required to provide mental health benefits comparable to medical and surgical benefits.

Silver State accepts UMR-administered plans on an out-of-network basis for adolescent behavioral health treatment. Our admissions team can verify your specific UMR plan benefits and explain the out-of-network coverage levels, including any differences in cost-sharing compared to in-network providers.

We Verify UMR Coverage in Under 10 Minutes

Our admissions team will verify your UMR benefits, explain your coverage, and walk you through the process — all in one call.

Pre-Authorization Process for UMR

UMR-administered plans typically require pre-authorization for residential adolescent behavioral health treatment. The authorization process involves submitting clinical documentation demonstrating medical necessity. Silver State manages the pre-authorization process with UMR on behalf of families, coordinating all required documentation. Contact our admissions team to verify your benefits and begin the authorization process.

Frequently Asked Questions About UMR Coverage

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Get Help for Your Teen Today

Our admissions team is available to verify your UMR benefits and answer any questions about treatment.