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[Blog](https://info.onedoc.ch/en/blog/ "Go to Blog.") [Psychologists](https://info.onedoc.ch/en/blog/psychologists/ "Go to the Psychologists Category archives.") The Referral Model for Psychotherapy: Process, Authorisation and Billing in Switzerland # The Referral Model for Psychotherapy: Process, Authorisation and Billing in Switzerland Last updated on 10/06/2026 [Psychologists](https://info.onedoc.ch/en/blog/psychologists/)  Since July 1, 2022, __psychologist-psychotherapists__ can bill their services directly to the __mandatory health insurance (AOS)__, without going through a psychiatrist. This change is based on the __prescription model__, which definitively replaced the former delegation model on January 1, 2023. Who can prescribe? Who can bill? How does long-term care work? Here is the essential information to know.  [Collaborate efficiently with your colleagues thanks to the OneDoc referral module](https://info.onedoc.ch/en/hub/referral/) ## What is the prescription model in psychotherapy? The prescription model refers to __the system in which a recognized psychologist-psychotherapist can practice and bill their services to the AOS__, provided that they have been prescribed by a physician. These foundations ensure a uniform framework across Switzerland, while leaving the cantons certain responsibilities regarding admission and pricing. Until 2022, psychologist-psychotherapists worked under the so-called delegation model: they practiced under the responsibility of a psychiatrist, who handled the billing. __With the prescription model, each authorized psychotherapist now bills independently__, while collaborating with a prescribing physician. ## How does the prescription model work in practice? Under the __prescription model__, an authorized physician prescribes psychotherapy, and the psychologist-psychotherapist then bills their sessions __in their own name__ directly to the health insurer. This marks a break from the former __delegation model__, in which billing had to go through a psychiatrist. Psychotherapists now practice and bill independently, provided that they meet the admission requirements for the AOS. The main points to remember: - __Entry into force:__ July 1, 2022 - __End of the delegation model:__ January 1, 2023 - __Legal basis:__ OAMal and OPAS - __First prescription:__ up to 15 sessions - __Crisis intervention or short-term therapy:__ up to 10 sessions - __Prescription required:__ before the first session billable to the AOS - __Admission required:__ in particular registration in PsyReg, cantonal authorization and RCC number The specific admission requirements for psychologist-psychotherapists and organizations of psychologist-psychotherapists are defined in the OAMal.  #### Our solutions that simplify psychotherapists’ daily practice | | | |------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------| |  [Online booking](https://info.onedoc.ch/en/hub/online-booking/) |  [OneDoc profile](https://info.onedoc.ch/en/hub/onedoc-profile/) | |  [Teleconsultation](https://info.onedoc.ch/en/visio/teleconsultation-module/) |  [Referral](https://info.onedoc.ch/en/hub/referral/) | [Request a demo](https://info.onedoc.ch) ## Who can prescribe psychological psychotherapy? The prescription can be issued by: - a specialist in psychiatry and psychotherapy - a specialist in child and adolescent psychiatry and psychotherapy - a primary care physician, e.g. a specialist in general internal medicine - a pediatrician - a physician holding the ASMPP certificate of advanced training, psychosomatic and psychosocial medicine - other physicians according to the applicable provisions of the OAMal and OPAS For __crisis interventions__ and __short-term therapies__, physicians with other postgraduate titles or medical practitioners may also prescribe, in accordance with the OPAS. ## Who can bill at the expense of the AOS? To be able to bill psychotherapy sessions to the AOS, a psychologist-psychotherapist must meet the following conditions: - Hold a master’s degree in psychology from a Swiss university or an equivalent recognized degree - Have completed accredited postgraduate training in psychotherapy - Hold a cantonal license to practice - Be admitted to practice at the expense of the AOS - Be registered in the federal register of psychology professions __(PsyReg)__ - Have an __RCC number__ issued by SASIS SA - Provide proof of the required clinical experience The RCC number must appear on all invoices sent to patients or insurers. __During postgraduate training:__ independent billing is not possible. Services covered by the AOS remain possible within the framework of salaried employment, under qualified supervision, with a C number linked to the employer’s RCC number. ## How does psychotherapy care proceed? ### The initial prescription Before the first session billable to the AOS, an authorized physician issues a prescription. Without this prescription, coverage by basic insurance is not guaranteed. The first prescription covers up to __15 sessions__. Staggered prescriptions are possible, e.g. 3 sessions at first, followed by 10 additional sessions. For a crisis intervention or short-term therapy, the maximum is __10 sessions__. ### Between the 12th and 15th session Around the 12th session, an exchange between the psychotherapist and the prescribing physician is recommended in order to assess the progress of the treatment. If the treatment is to continue, a __second prescription__ for 15 additional sessions may be issued. This exchange should be planned in advance to avoid any administrative interruption. ### After 30 sessions After 30 sessions, a __request for extension__ must be submitted to the health insurer. The psychotherapist writes a report on the course of treatment, ideally from the 25th session onwards, and forwards it to the prescribing physician. If the prescribing physician is not a specialist in psychiatry and psychotherapy, an assessment by a specialist is required. Physicians holding the ASMPP certificate may, depending on the case, carry out this assessment themselves. The insurer then decides how many additional sessions will be covered. Once the guarantee has expired, a new request must be submitted. In the event of a change of insurer, the previous guarantee is not automatically transferred. ### Interruptions and change of therapist Interruptions such as holidays, hospitalization, a therapeutic break or a change of calendar year do not reset the counter. The prescription remains valid until the prescribed number of sessions has been used up. In the event of a change of psychotherapist, it is recommended that the prescribing physician issue a new prescription, especially if the initial prescription names a specific therapist. ## How to bill under the prescription model? Psychotherapists bill their services __in their own name and on their own account__. The applicable tariff is the __PsyTarif__, with a provisional hourly rate set at __CHF 154.80__, subject to cantonal or contractual adjustments. Certain services may also be covered by __supplementary insurance under the LCA__. However, it is not possible to combine AOS and LCA for the same course of treatment. ## Which psychotherapeutic methods are recognized? The prescription model does not define a single method. Recognized approaches are those that form the basis of accredited postgraduate training, in particular: - cognitive behavioral therapy - psychodynamic or psychoanalytically oriented psychotherapy - systemic therapy - person-centered psychotherapy The choice of method depends on the indication, the clinical situation and the psychotherapist’s professional assessment. ## Physician–psychotherapist collaboration The prescription model is based on __active collaboration__ between the prescribing physician and the psychotherapist. The physician prescribes and is involved in extension procedures; the psychotherapist carries out the treatment, documents it and writes the necessary reports. This collaboration is not limited to the start of care. It must be reactivated before the end of the first 15 sessions, and the extension report must document the therapeutic goals, the extent to which they have been achieved and the justification for continuing treatment. Patient data may only be transmitted with the patient’s __explicit consent__. [Digital referral tools](https://info.onedoc.ch/en/hub/referral/) and secure communication tools significantly reduce the administrative burden for both parties.  [Talk with our experts and discover how OneDoc supports your psychotherapeutic practice](#) ### Legal basis of the prescription model in psychotherapy - [Federal Health Insurance Act (LAMal)](https://www.bag.admin.ch/fr/loi-federale-sur-lassurance-maladie-lamal) - [Health Insurance Ordinance (OAMal)](https://www.fedlex.admin.ch/eli/oc/2022/814/fr) - [Health Care Benefits Ordinance (OPAS)](https://www.fedlex.admin.ch/eli/oc/2022/840/fr) - [Federal Act on Psychology Professions (LPsy)](https://www.bag.admin.ch/fr/legislation-professions-de-la-psychologie) ### Useful resources - [ASP – The prescription model: an overview of all relevant aspects, sources and documents](https://psychotherapie.ch/wspx/fr/anordnungsmodell/) - [Swiss Confederation – The Federal Council improves access to psychotherapy](https://www.admin.ch/gov/fr/accueil/documentation/communiques.msg-id-82745.html) - [SASIS – Application and changes to the register of creditor codes (RCC)](https://www.sasis.ch/fr/registres/demande/) [](https://www.google.com/preferences/source?q=onedoc.ch) [](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Finfo.onedoc.ch%2Fen%2Fblog%2Fpsychologists%2Fthe-psychotherapy-prescription-model-how-does-it-work%2F "Share on Facebook")[](https://x.com/intent/post?url=https%3A%2F%2Finfo.onedoc.ch%2Fen%2Fblog%2Fpsychologists%2Fthe-psychotherapy-prescription-model-how-does-it-work%2F "Share on X")[](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Finfo.onedoc.ch%2Fen%2Fblog%2Fpsychologists%2Fthe-psychotherapy-prescription-model-how-does-it-work%2F "Share on LinkedIn") ### On the same topic [](https://info.onedoc.ch/en/blog/all-specialties/electronic-prescription-switzerland-guide/ "How does the electronic prescription (E-Prescription) work in Switzerland? Our complete guide") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [How does the electronic prescription (E-Prescription) work in Switzerland? Our complete guide](https://info.onedoc.ch/en/blog/all-specialties/electronic-prescription-switzerland-guide/ "How does the electronic prescription (E-Prescription) work in Switzerland? Our complete guide") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/electronic-prescription-switzerland-guide/) [](https://info.onedoc.ch/en/blog/all-specialties/write-referral-letter/ "How to write a referral letter in 5 steps: A guide for healthcare professionals") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [How to write a referral letter in 5 steps: A guide for healthcare professionals](https://info.onedoc.ch/en/blog/all-specialties/write-referral-letter/ "How to write a referral letter in 5 steps: A guide for healthcare professionals") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/write-referral-letter/) [](https://info.onedoc.ch/en/blog/physiotherapists/more-patients-physiotherapy/ "7 ways to attract more patients to your physiotherapy centre") - [Physiotherapists](https://info.onedoc.ch/en/blog/physiotherapists/) ##### [7 ways to attract more patients to your physiotherapy centre](https://info.onedoc.ch/en/blog/physiotherapists/more-patients-physiotherapy/ "7 ways to attract more patients to your physiotherapy centre") [Read the article](https://info.onedoc.ch/en/blog/physiotherapists/more-patients-physiotherapy/) [](https://info.onedoc.ch/en/blog/all-specialties/care-health-network-opportunities/ "From care network to health network: challenges and opportunities in the Swiss system") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [From care network to health network: challenges and opportunities in the Swiss system](https://info.onedoc.ch/en/blog/all-specialties/care-health-network-opportunities/ "From care network to health network: challenges and opportunities in the Swiss system") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/care-health-network-opportunities/) [](https://info.onedoc.ch/en/blog/all-specialties/healthcare-professional-recruitment-tips/ "Healthcare professional recruitment: 4 tips to make a new position profitable fast") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [Healthcare professional recruitment: 4 tips to make a new position profitable fast](https://info.onedoc.ch/en/blog/all-specialties/healthcare-professional-recruitment-tips/ "Healthcare professional recruitment: 4 tips to make a new position profitable fast") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/healthcare-professional-recruitment-tips/) [](https://info.onedoc.ch/en/blog/all-specialties/electronic-prescription-switzerland-guide/ "How does the electronic prescription (E-Prescription) work in Switzerland? Our complete guide") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [How does the electronic prescription (E-Prescription) work in Switzerland? Our complete guide](https://info.onedoc.ch/en/blog/all-specialties/electronic-prescription-switzerland-guide/ "How does the electronic prescription (E-Prescription) work in Switzerland? Our complete guide") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/electronic-prescription-switzerland-guide/) [](https://info.onedoc.ch/en/blog/all-specialties/write-referral-letter/ "How to write a referral letter in 5 steps: A guide for healthcare professionals") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [How to write a referral letter in 5 steps: A guide for healthcare professionals](https://info.onedoc.ch/en/blog/all-specialties/write-referral-letter/ "How to write a referral letter in 5 steps: A guide for healthcare professionals") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/write-referral-letter/) [](https://info.onedoc.ch/en/blog/physiotherapists/more-patients-physiotherapy/ "7 ways to attract more patients to your physiotherapy centre") - [Physiotherapists](https://info.onedoc.ch/en/blog/physiotherapists/) ##### [7 ways to attract more patients to your physiotherapy centre](https://info.onedoc.ch/en/blog/physiotherapists/more-patients-physiotherapy/ "7 ways to attract more patients to your physiotherapy centre") [Read the article](https://info.onedoc.ch/en/blog/physiotherapists/more-patients-physiotherapy/) [](https://info.onedoc.ch/en/blog/all-specialties/care-health-network-opportunities/ "From care network to health network: challenges and opportunities in the Swiss system") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [From care network to health network: challenges and opportunities in the Swiss system](https://info.onedoc.ch/en/blog/all-specialties/care-health-network-opportunities/ "From care network to health network: challenges and opportunities in the Swiss system") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/care-health-network-opportunities/) [](https://info.onedoc.ch/en/blog/all-specialties/healthcare-professional-recruitment-tips/ "Healthcare professional recruitment: 4 tips to make a new position profitable fast") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [Healthcare professional recruitment: 4 tips to make a new position profitable fast](https://info.onedoc.ch/en/blog/all-specialties/healthcare-professional-recruitment-tips/ "Healthcare professional recruitment: 4 tips to make a new position profitable fast") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/healthcare-professional-recruitment-tips/) [](https://info.onedoc.ch/en/blog/all-specialties/electronic-prescription-switzerland-guide/ "How does the electronic prescription (E-Prescription) work in Switzerland? Our complete guide") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [How does the electronic prescription (E-Prescription) work in Switzerland? Our complete guide](https://info.onedoc.ch/en/blog/all-specialties/electronic-prescription-switzerland-guide/ "How does the electronic prescription (E-Prescription) work in Switzerland? Our complete guide") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/electronic-prescription-switzerland-guide/) prev next ##### About OneDoc - [Our Mission](https://info.onedoc.ch/en/our-mission/) - [Privacy policy](https://privacy.onedoc.ch/fr) - [Cookie policy](https://info.onedoc.ch/en/cookie-policy/) [Consent management](javascript:Didomi.preferences.show%28%29) ##### Our websites - [pro.onedoc.ch: app for healthcare professionals](https://pro.onedoc.ch/fr/) - [onedoc.ch: online booking platform](https://www.onedoc.ch/fr/) - [myhealth.onedoc.ch: health blog](https://myhealth.onedoc.ch/fr/) ##### Languages - [FR](https://info.onedoc.ch/fr/blog/psychologues/modele-prescription-psychotherapie/ "Switch to FR (FR)") - [DE](https://info.onedoc.ch/de/blog/psychologen/anordnungsmodell-psychotherapie/ "Switch to DE (DE)") - [IT](https://info.onedoc.ch/it/blog/psicologi/modello-prescrizione-psicoterapia/ "Switch to IT (IT)") - [EN](https://info.onedoc.ch/en/blog/psychologists/the-psychotherapy-prescription-model-how-does-it-work/ "Switch to EN (EN)") ##### Our Softwares - 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[Shortage of medical assistants: 3 ways to ease your medical practice’s administrative workload](https://info.onedoc.ch/en/blog/all-specialties/shortage-medical-assistants/) - [Tarif 595: Are you affected and how does it work?](https://info.onedoc.ch/en/blog/all-specialties/tarif-595-are-you-affected/) - [Tarif 595: A guide to understanding invoice structure](https://info.onedoc.ch/en/blog/all-specialties/tarif-595-invoice-structure/) - [Stress and burnout in medical practices: 7 strategies to make your day-to-day easier](https://info.onedoc.ch/en/blog/all-specialties/burnout-medical-practices/) - [Independent or employed dental hygienist: What are the differences in Switzerland?](https://info.onedoc.ch/en/blog/dental-hygienists/independent-employed-dental-hygienist-differences/) - [Can AI ease the workload of medical practitioners and front-desk teams? And how?](https://info.onedoc.ch/en/blog/all-specialties/ai-medical-practitioners/) - [3 methods to effectively prioritize tasks in your medical practice](https://info.onedoc.ch/en/blog/all-specialties/prioritizing-tasks-medical-practice/) © 2026 OneDoc SA - Made with  in Switzerland Close