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Villa Healing Center accepts UMR for adult residential mental health treatment. Most UMR-administered self-funded employer plans cover residential mental health care under the federal Mental Health Parity and Addiction Equity Act.
Villa Healing Center accepts UMR for adult residential mental health treatment. UMR is a third-party administrator (TPA) for self-funded employer health plans. Your UMR-administered plan typically covers residential mental health under the federal Mental Health Parity and Addiction Equity Act. We confirm the specifics of your individual employer plan during verification.
UMR is a third-party administrator (TPA) wholly owned by UnitedHealth Group. Unlike commercial insurance carriers that sell insurance directly to members, UMR administers self-funded employer health plans. A self-funded plan is one where the employer pays claims directly from its own funds rather than purchasing insurance from a carrier; UMR processes those claims, manages the provider network, and handles administrative functions on the employer’s behalf. This structure is governed by the federal Employee Retirement Income Security Act (ERISA), which applies to most employer-sponsored health plans.
Because UMR plans are designed by each employer client, plan structure varies significantly. Two employees with UMR cards can have very different benefits, deductibles, and behavioral health coverage rules depending on what their respective employers chose. Many UMR-administered plans use Optum Behavioral Health (a UnitedHealth Group sister subsidiary) for mental health and substance use disorder administration, but employer clients can choose alternative behavioral health administrators. When Villa Healing’s admissions team verifies your UMR coverage, they confirm your specific employer plan’s behavioral health administration and coverage structure.
Most self-funded employer health plans are subject to the federal Mental Health Parity and Addiction Equity Act (MHPAEA), which requires that mental health and substance use benefits be provided at parity with medical and surgical benefits. ERISA also provides additional protections for plan participants. UMR is part of UnitedHealth Group, the parent company that also owns UnitedHealthcare and Optum. UnitedHealth Group is regulated by various state insurance departments including the California Department of Insurance for its California-licensed insurance products.
UMR requires prior authorization for residential mental health treatment on most employer plans. Specific authorization requirements depend on the employer client’s plan design and behavioral health administrator. Villa Healing’s admissions and clinical teams handle the prior authorization request on your behalf. Initial authorizations for residential mental health treatment typically run 7 to 14 days, with continued-stay reviews every 5 to 7 days based on medical necessity.
Medical necessity for residential mental health treatment under UMR-administered plans is typically established by clinical assessment showing that lower levels of care are not clinically appropriate or have been unsuccessful. The behavioral health administrator handling your UMR plan applies medical necessity criteria consistent with the American Society of Addiction Medicine (ASAM) criteria and the LOCUS or CASII level-of-care criteria for mental health. Villa Healing’s clinical team documents medical necessity during intake and at each continued-stay review. Our admissions and clinical teams handle all continued-stay reviews throughout your treatment, including any appeals if needed. Self-funded ERISA plans have specific appeals procedures that the appeals process follows.
Every UMR-administered plan has its own coverage specifics for residential mental health treatment, designed by the employer client. Verification confirms what your plan covers for your individual policy. Your benefits summary explains how your plan covers residential mental health, identifies any plan-specific notes, and confirms what to expect before admission.
UMR-administered plans cover residential mental health treatment at Villa Healing, and our admissions team walks you through your plan’s specifics during verification. Verification clarifies exactly what your plan will pay before you commit to admission.
Villa Healing Center is located at 23033 Ostronic Drive, Woodland Hills, California 91367, in the San Fernando Valley of Los Angeles County. Adult patients with UMR-administered employer plans from across the United States travel to our facility for residential mental health treatment. Because UMR plans are self-funded employer plans, the California Department of Insurance does not directly regulate the plan itself (ERISA preempts state regulation of self-funded plans), but California-licensed providers serving UMR members are still subject to California professional licensing.
UMR’s nationwide TPA footprint means UMR members come from many states. Plan-specific coverage is determined by the employer rather than by California facility rates. Verification confirms your individual plan’s benefits before admission.
Medical Director
Medical Director
Clinically reviewed by Dr. Courtney Scott, MD, Medical Director at Villa Healing Center. Board-eligible in Emergency Medicine, Internal Medicine, and Addiction Medicine per Villa’s published clinical leadership profile.
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UMR insurance verification at Villa Healing Center is confidential and typically takes about 15 minutes by phone. Because UMR plans vary significantly by employer client, verification confirms your specific plan. Call (888) 669-0661 to speak with our admissions team about your UMR-administered employer plan.
If you or someone you care about is struggling with mental health challenges, Villa Healing Center is here to help. Our team provides compassionate, professional care designed to support your journey toward emotional wellness.
