A documented level of care for the cases an EAP cannot hold.

For EAP case managers, care navigators and benefits consultants in California. When short-term counselling sessions run out and the case needs clinical intensity, this is the step up.

You make the referral. We carry the benefit check, the assessment, the authorization and the documentation you need to close the case.

Next-business-day intake on most cases
Level-of-care decisions documented on the ASAM Criteria 4th edition
Out-of-network benefit check before anyone commits
AM, PM and evening cohorts, 100 percent telehealth
Warm handoff, named clinician, no phone tree

Send a referral Call (646) 275-2111

Triage

Who to send to Shift.

Mental health

Lower level of care

Weekly therapy holds it

Symptoms respond to a weekly appointment, and work, safety and home life are intact.

Shift virtual IOP

Three to five hours a day, from home

An adult in California, stable enough to be treated at home, who needs more than one hour a week:

Symptoms a weekly appointment is no longer holding
Stepping down from inpatient or a partial hospitalization program
Anxiety, depression or trauma alongside a substance use concern
Cannot step out of work, school or caregiving for weeks

Higher level of care

Not us

Acute risk of harm to self or others, psychiatric instability, or anyone who needs twenty-four hour supervision.

Substance use

Lower level of care

Outpatient is enough

Occasional use that is not affecting work, safety or home life.

Shift virtual IOP

Structured care without a building

An adult in California with a private space to be treated from:

Use that is affecting daily life
Transitioning from withdrawal management or residential care back home
A substance use concern alongside a mental health condition
A job, a family or a court schedule that a thirty-day absence would break

Higher level of care

Not us

Medically managed withdrawal, twenty-four hour supervision for physical dependence, or medical instability.

If someone is in crisis, call or text 988, the Suicide and Crisis Lifeline. Call 911 if there is immediate danger. Shift is an outpatient program and is not an emergency service.

What comes back to you

What we handle.

A warm handoff

A named clinician takes the call with you on the line if you want it. No referral number, no queue.

Benefit check

We read the member plan out of network and give the member a number before the first appointment.

Documented level of care

The assessment and the ASAM Criteria decision are written down, which is what a plan or a utilization reviewer asks for later.

Authorization

We submit the authorization and handle medical-necessity review through the episode.

Case closure you can file

With the member's written consent, attendance and outcome documentation back to you. Substance use records move only under 42 CFR Part 2 consent.

An honest no

If the member needs residential or inpatient care, we say so rather than taking the case.

No payment, in either direction. We do not pay for referrals and we do not accept payment for them. No fee, no commission, no gift, no marketing stipend, no space rental, no free staffing. That is 18 U.S.C. 220 and California Health and Safety Code 11831.6, and it is also how we would run this anyway.

Send a referral.

Two minutes on the referrer form, or call and we take it over the phone. A clinician calls you back the same business day.

Referrer form Call (646) 275-2111