IN Focus First is an out-of-network provider and does not bill insurance directly. Patients pay at the time of service and receive a superbill — an itemized receipt with the diagnostic and procedure codes required to submit a claim to your insurance provider for potential reimbursement. HSA and FSA cards are accepted. Many patients with PPO plans receive partial reimbursement for out-of-network psychiatric services. If you have an HMO plan, out-of-network reimbursement is typically not available.

Insurance companies mandate the “15-minute medication check” model to maximize volume. I view this as clinically dangerous. When adjusting neurochemistry, 15 minutes is insufficient to ensure patient safety or diagnostic accuracy. By refusing insurance, I retain the autonomy to spend 60+ minutes with you, ensuring we are treating the root cause rather than just stabilizing symptoms. Although we do not accept insurance for appointments, we do provide a superbill.

In Indiana, a Psychiatric Mental Health Nurse Practitioner (PMHNP) can independently prescribe ADHD medication, including controlled substances like Adderall, Vyvanse, and Strattera, without physician supervision. Jessica Walsh, PMHNP-BC, is a board-certified psychiatric nurse practitioner at IN Focus First with specialized training in ADHD and psychopharmacology. You do not need to see a psychiatrist or physician to receive an ADHD diagnosis and prescription in Indiana.

Adults and teens in Indiana can receive a comprehensive psychiatric evaluation which includes assessing for ADHD symptomology to begin treatment entirely via telehealth through IN Focus First, a psychiatric practice licensed and operating statewide. Your appointment includes a full psychiatric interview, symptom review, and collaborative treatment planning — all conducted securely from your home. If ADHD is diagnosed, medication management can begin at the same appointment, with same-week availability typically offered. Book your evaluation here.

A psychiatric nurse practitioner (PMHNP) and a psychiatrist both diagnose mental health conditions and prescribe psychiatric medication, but they differ in training pathway — psychiatrists complete medical school and a residency, while PMHNPs complete graduate nursing school and a psychiatric specialty certification. In Indiana, PMHNPs practice independently with full prescriptive authority, including for controlled substances. At IN Focus First, care is led by Jessica Walsh, PMHNP-BC, with medical oversight from Dr. Olaniyi Osuntokun, MD, a double board-certified psychiatrist and neurologist serving as Medical Director.

IN Focus First offers psychiatric appointments as early as the next business day, with same-week availability for most new patients. Appointments are booked online and include evening slots Monday through Friday from 9:30 AM to 8:00 PM. Check current availability here.

IN Focus First may prescribe controlled substances, including stimulant medications for ADHD, via telehealth in compliance with the Ryan Haight Online Pharmacy Consumer Protection Act and applicable Indiana and federal law. Prescriptions are issued based on a thorough clinical evaluation and are at the sole discretion of your provider. Current federal telehealth prescribing regulations are subject to change, and an in-person evaluation may be required depending on regulatory status at the time of your appointment.

Yes, we are currently accepting new patients statewide. We offer same-week appointments for both telehealth and in-person visits. You can schedule online or call our Indianapolis office at 317-886-8118

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