Open Enrollment Changes for Private Practices: 6 Easy Steps
Open enrollment changes for private practices start before the new plan year does. Medicare’s annual enrollment runs October 15 to December 7, and Marketplace enrollment runs
Georgia Psychiatry and Psychology Billing: 5 Essential Tasks
Georgia psychiatry and psychology billing has two jobs to do well. Psychologists bill psychotherapy and testing codes. Psychiatric prescribers bill evaluation and management (E/M)
Georgia Pathways to Coverage: What Changes January 1, 2027
Georgia DCH Pathways, formally Pathways to Coverage, is the state’s limited Medicaid program for low-income adults, and its federal approval is set to end on December 31, 2026 un
Florida CMS Plan Moved to Molina on October 1: What Providers Need to Know
The Florida CMS Plan Molina providers need to know about is now live. On October 1, 2026, Molina Healthcare of Florida took over administration of the CMS Plan from Sunshine State
Illinois CPT 96127 Now Needs Modifier U1 or U2: How to Bill It
The Illinois 96127 modifier U1 U2 rule is now in effect. For Illinois Medicaid dates of service on or after August 1, 2026, CPT 96127 (brief emotional or behavioral assessment) nee
Medicare 2027 Fee Schedule Proposal: Psychotherapy Billing
The 2027 Medicare physician fee schedule psychotherapy question is simple to state: what does CMS propose for the codes you bill? CMS (the Centers for Medicare & Medicaid Servi
Medicaid Work Requirements Start 1/1/2027: What to Do Now
Medicaid work requirements mental health providers must plan for are no longer a Washington debate. They are a billing problem with a start date. Under a federal rule, states must
Credentialing With Cigna: 6 Easy Steps for Therapists
Credentialing with Cigna for behavioral health runs through Evernorth’s provider portal and a CAQH profile. Evernorth lists clear minimum requirements, six application steps
Credentialing With Aetna: 4 Easy Steps for Therapists
Credentialing with Aetna starts with a request, not an application. Aetna’s page tells behavioral health clinicians to complete a request for participation form, and Aetna th
Group NPI vs Individual NPI: 4 Easy Differences
A group NPI vs individual NPI question comes up the day a solo clinician forms an LLC or hires a second provider. The short answer: each clinician keeps one personal Type 1 NPI, an