Accessibility and Community-Based Care

At Sub Rosa Therapy, we believe that healing should be accessible, community-rooted, and sustainably supported. Our mission is not only to provide high-quality care—but to do so in ways that strengthen local systems and reduce barriers for those most in need.

We put this mission into practice in the following ways:

Spravato Access for Depression and Suicidality
We are proud to offer Spravato, an FDA-approved treatment for treatment-resistant depression and suicidality, which is covered by most insurance policies. While Spravato is sourced from outside the region, it serves as a financial engine that supports our broader goal of reinvesting in the Bozeman community and sustaining access to affordable counseling and psychiatric care.
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.
Medication Management Services
Sub Rosa Therapy provides access to medication management services through Alison Hall, PA-C, who is available for medication consultations and support when clinically appropriate. 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.
Mental Health Scholarship Partnerships
We maintain active partnerships with scholarship programs like Suffer Out Loud (Bozeman, MT) and Thank You Life (Austin, TX) to support need-based access to psychedelic therapy. These initiatives align with our core value of making affordable counseling available to all, especially those with limited financial resources.
In-Network Insurance Contracts
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.
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.
Sliding Scale Ketamine-Assisted Therapy
We offer a need-based sliding scale for clients working with Sub Rosa therapists who are seeking Ketamine-Assisted Therapy. This model supports our ongoing effort to offer affordable counseling options even in specialized care settings. If you think you may qualify, please reach out to us directly.
Embedding the Pollination Approach
Inspired by the Pollination Approach developed by Bennet A. Zelner for MAPS-PBC (now Lykos Therapeutics), we are gradually integrating its principles into our operations. This includes building strong, unpaid referral relationships with local providers, prioritizing local sourcing, offering equitable access through public programs, and exploring future pathways for more cooperative governance and community-rooted decision making. As part of this work, we continue to expand affordable counseling access through local and systemic collaborations.