Intake
Engine.
Empty beds and a rising cost-per-admit. That's the problem most programs bring us. We run paid ads for behavioral health — built to drive verified admissions conversations, not leads — operated by AI and supervised by a licensed clinician. We optimize to cost-per-admit. Not CTR, not ROAS. The number that actually tracks to census.
You pay for admits. Not clicks.
Most programs are burning ad spend on the wrong callers while their cost-per-admit climbs.
The wrong insurance mix. The wrong level-of-care intent. Callers who will never admit. Campaigns built around keyword lists nobody updates, creatives nobody rotates, and calls nobody listens to. The account manager logs in twice a week and sends a report you don't read because it doesn't tell you anything about census.
Behavioral health paid search is demanding at a cadence most agencies can't match. Google requires LegitScript certification. Compliance rules eliminate most generic ad creative. Smart Bidding needs real admissions conversion signals — not phantom form fills — to learn your patient profile. Meta restricted health advertising in January 2025.
The Intake Engine is built specifically for this. Admissions as the metric. A licensed clinician supervising the work. An AI system running the operations nightly so nothing slips between weekly check-ins.
The six-stage pipeline.
Runs every night. Supervised by a clinician. Reported in prose.
Harvest
We start by building an Admission Profile — your insurance mix, levels of care, service area, and co-occurring presentations mapped directly to keyword and negative-keyword strategy. No other agency does this step with clinical rigor. Then AI monitors search volume, competitor ads, and intent clusters daily, maintaining a living negative-keyword graph that filters out queries burning spend on the wrong callers. The graph compounds as a structural asset over time.
Generate
Produces ad copy and landing page variants at velocity — constrained by ASAM level-of-care accuracy, person-first language standards, FTC outcome-claim rules, and Google/Meta health ad policy. 500 variants generated, 20 survive the constraints. Per-ad-group landing pages dynamically adapt hero, hook, and proof.
Pre-flight
Every variant runs against the compliance corpus before it ships — ASAM, LegitScript, Google/Meta health policy, FTC enforcement actions since 2016, state-level telehealth and outcome-claim rules. Flags get rewritten. Nothing ships that the corpus doesn't clear.
Ship
Campaigns deployed. Server-side GTM. CallRail with a BAA. HIPAA-conformant form handling. Per-ad-group landing pages live on an Astro stack — not a WordPress form buried under third-party pixels.
Score
Every inbound admissions call transcribed and scored on five dimensions: intent, level of care, insurance signal (self-pay / commercial / Medicaid), decision-maker (self vs family), urgency. Qualified-call conversion values flow into Google Smart Bidding so the algorithm optimizes for verified admissions, not clicks.
Learn
System reweights bids by qualified-call yield. Adjusts the negative-keyword graph. Rotates fatiguing creatives. Feeds new intent clusters back into Stage 01. As the pipeline accumulates admissions data, cost-per-admit compresses — the system gets smarter about your specific patient profile every month. The Intake Report documents what changed and why.
Clinician. Engineer. Intake Engine.
Jack Foley, LMFT. Sees clients weekly. Writes the clinical seed copy the pipeline trains on. Reviews pre-flight catches. Approves new campaign angles. The language is current because the clinician is.
Server-side GTM. HIPAA-conformant infra. CallRail + Smart Bidding integration. Claude and GPT API ops. The stack is built by the person supervising it — not handed off to a separate team who doesn't know the clinical context.
The six-stage pipeline. Harvest, Generate, Pre-flight, Ship, Score, Learn. Runs nightly. What you're buying IS the system running the ads — not a promise that a human account team will do its best.
LegitScript + Account Setup
We handle LegitScript certification as part of onboarding. Most programs aren't running Google Ads because they haven't navigated this — we've been through it. Application support, submission tracking, and approval management included. Fees are client-direct ($1,595 application + $3,095/yr per facility). Alongside: Google Ads account, server-side tracking, call tracking with BAA. Done right, once.
Pipeline Deployment
The six-stage AI pipeline deployed against your account. Campaign structure built for your levels of care. Geo-targeted. Per-ad-group landing pages on a fast Astro stack. The negative-keyword graph seeded from your intake criteria.
Continuous AI Operation
The pipeline runs nightly. Variants generated and pre-flighted. Calls scored and values written back to Smart Bidding. Creatives rotated before fatigue. The graph learns every day. A clinician reviews anomalies and approves new angles weekly.
The Intake Report
Monthly prose summary, written from the pipeline log. What was spent, qualified-call mix, insurance signal breakdown, what changed, what we're watching. Five minutes to read. Written for a CEO, not a dashboard analyst.
AI Answer Audit
Quarterly review of how ChatGPT, Claude, Perplexity, and Google AI Overviews describe your program. Families start in AI chats before they click ads. Included with Intake Engine. Standalone: $2,500/qtr.
Clinician Supervision
A licensed LMFT reviews what the pipeline flags, signs off on new campaign angles, and writes the clinical seed copy the pipeline trains on. Not an account coordinator. Not a generalist. The founder.
Detox and residential programs. PHP and IOP. Mental health group practices with admissions infrastructure. LegitScript-certified (or willing to certify). Admissions phone coverage during ad hours. Budget floors track level of care — detox/residential $20K–$100K+/mo, PHP/IOP $8K–$20K/mo, MH groups $3K–$8K/mo.
Sober livings (LegitScript doesn't certify housing-only programs — Google will reject). Solo practitioners (volume doesn't justify the build). Programs with no phone coverage. Anyone who wants ad spend marked up — we don't.
Ad spend billed client-direct by Google. Not marked up.
LegitScript fees paid client-direct. Not marked up.
Mid-market for BH PPC (industry standard 15–20%).
90-day minimum, then month-to-month.
Smart Bidding needs ~90 days to learn your patient profile and exit its learning phase. The minimum isn't arbitrary — it's how long it takes the system to actually work.
Week 1–2: Discovery. LegitScript status. Tracking audit. Intake-criteria mapping. Negative-keyword graph seed.
Week 3–6: Setup. Server-side tracking. Call scoring wired up. Landing pages built. Pipeline deployed against your account. First generate-and-pre-flight run reviewed.
Week 7+: Pipeline runs nightly. Weekly clinician review. Monthly Intake Report. Quarterly AI Answer Audit.
All inquiries are confidential. You'll hear back within one business day.
What is the Intake Engine?
The Intake Engine is both the service and the proprietary AI system that runs it. It's a six-stage pipeline — Harvest, Generate, Pre-flight, Ship, Score, Learn — that runs daily. It maintains a living negative-keyword graph, generates ad and landing page variants constrained by ASAM, LegitScript, FTC and health ad policy, scores every inbound call, and feeds qualified-call values back into Smart Bidding nightly. A licensed LMFT supervises it.
Why AI-operated rather than human-managed ads?
Behavioral health paid search is a machine-scale problem. Thousands of shifting keywords. Compliance rules that eliminate most normal ad creative. Meta fatiguing creatives in 72 hours. Every inbound call the real conversion — not the click. Human teams can't maintain the velocity, so most agencies ship stale creative, miss negative keywords, and ignore call data. An AI pipeline matches the cadence the channel actually demands.
Do I need LegitScript certification — and do you handle it?
Yes to both. Google and Bing require LegitScript certification for addiction treatment advertisers. Most programs aren't running Google Ads because they tried to navigate this on their own and got stuck or rejected. We've been through the process — we handle submission, track approval, and know what flags the review. Fees are client-direct ($1,595 application + $3,095/yr per facility). Approval takes 4–8 weeks; we run account and campaign preparation in parallel so you're ready to launch the day it clears.
How much should a behavioral health program spend on Google Ads?
Budget tracks level of care. Detox and residential programs typically run $20,000–$100,000+ per month in ad spend. PHP and IOP programs usually start at $8,000–$20,000/month. Mental health group practices can produce meaningful data at $3,000–$8,000/month. Ad spend is paid client-direct to Google — we do not mark it up.
How is management priced?
15% of monthly ad spend, with a $2,500/month minimum. Setup is $5,000 one-time. The percentage is mid-market for behavioral health PPC (Webserv and comparable agencies typically run 15–20%); the minimum kicks in when 15% of spend would be below $2,500, so smaller accounts are still economically viable. Above roughly $16,700/month in ad spend, the percentage exceeds the minimum and scales from there. Ad spend itself is billed client-direct by Google — we don't buy the media in our account and mark it up, so you always see exactly what the platform charged.
How does the call scoring work?
Every inbound call is routed through CallRail (with a BAA in place), transcribed, and scored by the pipeline on five dimensions: intent, level of care requested, insurance signal (self-pay, commercial, Medicaid), decision-maker (self or family), and urgency. Qualified calls produce a conversion value that flows back into Google Smart Bidding, so the algorithm optimizes for admits, not clicks.
How is this different from other behavioral health PPC agencies?
Three differences. First, the system gets smarter over time — the negative-keyword graph, Smart Bidding training data, and creative library all compound monthly. A program switching agencies loses all of that and starts the learning curve over. Second, the work is supervised by a licensed LMFT who codes — not outsourced to separate clinical, creative, and engineering teams who don't speak to each other. Third, we optimize to cost-per-admit, not click-through rate or ROAS — the number that actually tracks to census.
What is the Intake Report?
A monthly plain-prose report — not a dashboard. Written from the pipeline log. What was spent, which campaigns produced qualified calls, insurance mix, what the calls sounded like, what the pipeline changed last month, and what we're watching. Readable by a CEO in five minutes. The AI drafts it from structured data. The clinician edits and signs it.
Let's talk census. What's your cost-per-admit today?
All inquiries are confidential. You'll hear back within one business day.