Suggested
Medically supervised inpatient
Things to confirm
✓ Medical pathway · ✓ Containment available
Level-of-Care Triage Tool
Four questions a non-specialist clinician can use before referring out. Returns a suggested starting point, confirmation items, and draft note language.
Consult-request draft
“Wanted to flag a shared patient — concerned about safety of continued use…”
Scope & Escalation Tool
Organize substance-use concerns, review whether medical input is needed, and generate an editable consult-request draft.
Suggested
Step down to IOP
Step-Down Rationale Builder
Pick progress indicators and remaining risk; get original documentation language justifying a step-down or hold.
Call now
Sweats + confusion + fever together
Withdrawal Recognition Reference
Per-substance timeline, observable signals by phase, fentanyl-era opioid considerations, and a red-flags-call-now panel separate from standing risk factors.
In session
Pinpoint pupils · nodding
Coordinate when
Considering MOUD
Substance Context Library
What a non-specialist therapist needs to know when a patient is using alcohol, opioids, cannabis, stimulants, or benzodiazepines: observable signs, medical risks, and when to coordinate.
Dose
4 mg
Repeat
2–3 min
If no response
Re-dose, call 911, continue rescue breathing
Naloxone Quick Reference
One-page reference for dosing, repeat-dose timing, and post-reversal monitoring in the fentanyl era.
Rule
Disclosure permitted without consent to medical personnel for immediate threat.
42 CFR Part 2 Disclosure Tool
Pick a disclosure scenario and review the likely Part 2 posture, consent requirements, documentation needs, and redisclosure-notice text.
Stages-of-Change Language Coach
Paste a de-identified patient quote; get a possible change posture and original response options.
MAT Conversation Opener Library
Original, alliance-preserving phrasings for raising medication options with a patient, filterable by readiness and concern.
Buprenorphine
Telehealth allowed · in-state license
Reviewed 2026-05-01
Telehealth & Controlled-Substance Tracker
Pick a state; see a curated federal/state reference for buprenorphine, methadone, and naltrexone telehealth rules with citations and review dates.
Outstanding — to confirm
MAT continuity · naloxone · Part 2 consent
Warm-Handoff Summary
SBAR-structured intake form → tight printable summary with an auto-computed "outstanding — to confirm" call-list for the receiving provider.
Channel back
Phone preferred · Tue/Thu PM
Coordination-of-Care Outreach
For ongoing co-treatment (not transfer). Generates a minimal-identifier outreach draft with a Channel Back block and Part 2 redisclosure boilerplate.
AMA Discharge Documentation Tool
Structures capacity, risk, and harm-reduction documentation for an AMA note the clinician completes.
D
Pt reports increased cravings since job loss; tearful affect, engaged.
A
Stressor-triggered relapse risk; coping skills review indicated.
Note Format Switcher
Paste a draft note; pick SOAP, DAP, BIRP, or GIRP. Text is sent to Grata's server and on to Anthropic for reformatting — de-identified content only.
Reviewer will likely ask
• Why this LOC and not the next step down?
• What changed since last review?
• What objective measures have you tracked?
Peer-to-Peer Review Prep Tool
Anticipates the reviewer's likely questions and structures your talking points before a payer peer-to-peer call.
Concurrent Review Call Prep
Organizes patient-specific review points into a practical payer-call order.
Re: Appeal of denial
Member: [INITIALS] · Auth #: [NUMBER]
Medical necessity: The patient presents with [ACUITY FACTORS]…
Clinical evidence: [withdrawal risk, prior step-down failures, comorbidities]…
Requested LOC: [PHP / IOP / residential]
Denial Appeal Letter Scaffold
Paste a short, de-identified denial excerpt to surface the likely objection category; tool generates an appeal-letter scaffold with bracketed prompts for clinical evidence.
Re: SCA request — [member ID]
Why this provider: Network gap + specialty match…
Clinical need: [acuity, LOC, urgency]
Rate request: Single case agreement at in-network parity
Single-Case Agreement Request
Drafts an out-of-network exception or SCA request from the member’s access facts, clinical need, and proposed terms.
Deductible
$3,000
Coinsurance
20%
Illustrative
≈ $4,200 for a 6-wk IOP episode
Not a quote — depends on plan
Insurance Benefits Translator
Enter deductible, coinsurance, copay; get a plain-English worked example of how cost sharing could work in an example episode — clearly framed as illustrative, not a quote.
Covered · Tier 2
PA required · QL 90 films / 30d
Source: CMS Q1 2026 · NADAC live
Addiction Medication Formulary & PA Lookup
Pick a payer + addiction medication; see sourced coverage-navigation summaries, PA questions, step-therapy prompts, and as-of dates.
Carve-out: BH to Magellan
Medicaid MCO & SUD Coverage Lookup
Pick a state; see curated Medicaid MCO rosters where available, or state-level managed-care structure and verification prompts where the roster is not yet curated.
Source: CMS HCPCS Q4
SUD / BH Code Change Tracker
Search by code or service; see curated descriptor context, sourced change notes, payer-verification prompts, and telehealth billing caveats.
Medicare PFS
$76.39
Medi-Cal
$44.20
▼ 1.2% YoY · CMS 2026 PFS
Medicare Fee Schedule Reference
Pick a code and see the current published national Medicare PFS reference amount, with source date and year-over-year change. Public rates only.
Live · grants.gov · refreshes 6h
SUD Grant & Funding Tracker
Open federal SUD-relevant funding opportunities sorted by deadline. Pulled live from grants.gov with agency, keyword, and assistance-listing relevance filters.