Private PracticeStart a Therapy Private Practice in Illinois
A 12-week Illinois private practice setup guide for therapists: licensure, PLLC, HIPAA, telehealth, NPI, CAQH, credentialing, and billing.
Dax Earl · May 21, 2026
Read articlePractical guides on insurance billing, credentialing, and payer updates for therapists and group practices.
Private PracticeA 12-week Illinois private practice setup guide for therapists: licensure, PLLC, HIPAA, telehealth, NPI, CAQH, credentialing, and billing.
Dax Earl · May 21, 2026
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CredentialingMost Illinois therapists plan for 2–5 weeks, but credentialing really takes 2–5 months because approval and billability aren't the same finish line.
Dax Earl · Feb 25, 2026
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Step-by-step CAQH Provider Data Portal setup: register, complete profile data, authorize plans, attest, and upload documents.
George Ruan · Jul 14, 2026
What CAQH is, why therapists and other providers need a Provider Data Portal profile, and how it affects credentialing, directories, and payer access.
George Ruan · Jul 14, 2026
A plain-English map of Idaho Medicaid enrollment, TPA/Gainwell, Magellan/IBHP, CAQH, Availity, and dual-plan exceptions for therapists.
George Ruan · Jul 14, 2026
A practical guide to choosing and submitting the correct TRICARE East certification application for a first-time outpatient mental health provider.
George Ruan · Jul 14, 2026
ProviderOne, CAQH/DataSpring, OneHealthPort, and Apple Health MCO credentialing explained for Washington therapy practices.
George Ruan · Jul 14, 2026
Map Montana Medicaid credentialing, ICAP, Provider Services, MATH, PCMT, and the planned MTHCS claims transition for therapists.
George Ruan · Jul 14, 2026
How Idaho therapists start Medicaid enrollment through TPA registration, the Provider Enrollment Application, and Magellan follow-up.
George Ruan · Jul 14, 2026
Learn how to track a TRICARE East certification application, interpret approval correctly, escalate delays, and avoid treating certification as network status.
George Ruan · Jul 14, 2026
A therapist-friendly guide to choosing the right Washington Apple Health ProviderOne enrollment path and preparing the application.
George Ruan · Jul 14, 2026
Enroll as Montana Medicaid Therapist
How therapists enroll in Montana Medicaid, choose the right provider record, prepare documents, and avoid common application mistakes.
Create an Idaho Medicaid TPA Account
What an Idaho Medicaid Trading Partner Account is, which TPA type therapists usually need, and how it connects to enrollment.
Request TRICARE East Network Status
A step-by-step guide to submitting Humana Military's network participation request for a TRICARE-certified outpatient mental health provider.
ProviderOne vs CAQH in Washington
ProviderOne, CAQH/DataSpring, OneHealthPort, and retired ProviderSource explained for Washington Medicaid therapists.
Create Montana ICAP Account
How to create Montana ICAP access for the Provider Services Portal and keep enrollment, maintenance, and user setup organized.
Idaho Medicaid Biller Access
How Idaho therapy practices can associate a billing agent with a Medicaid TPA without sharing the provider login.
TRICARE East Contracting and CAQH
Understand the contract, CAQH, credentialing, final approval, and effective-date steps before TRICARE East network go-live.
How to Set Up ProviderOne Access
Set up ProviderOne organization access, System Administrator users, security profiles, and first operational checks for Washington therapy practices.
Give Biller Montana Portal Access
How Montana practices should give billers separate Provider Services Portal access without sharing owner credentials.
Idaho Medicaid Enrollment Types
How Idaho therapists should think about individual, group, FAO, and ORP Medicaid enrollment before submitting the wrong application.
TRICARE East Claims Go-Live Setup
A TRICARE East go-live checklist for provider self-service, electronic claims, payer ID 99727, EFT/ERA, eligibility, and referrals.
Give Your Biller Access to ProviderOne
How Washington therapy practices can add a biller to ProviderOne with named users, profiles, and no password sharing.
MPATH vs MATH vs ICAP
Plain-English guide to ICAP, MPATH, Provider Services, MATH, and MTHCS so Montana therapists know which portal to use.
Idaho Medicaid Group Enrollment
How Idaho Medicaid group practices align billing NPI, rendering clinicians, locations, affiliations, and Magellan records.
Apple Health Provider Types
Washington Apple Health provider enrollment categories explained for solo therapists, groups, rendering clinicians, and managed-care-only records.
Montana Medicaid Enrollment Types
Compare Montana Medicaid sole proprietor, rendering, ORP, group, and facility enrollment paths for therapy practices.
Idaho Enrollment vs Magellan
Why Idaho Medicaid state enrollment and Magellan/IBHP credentialing are separate requirements for many therapists.
Apple Health Enrollment vs MCO Credentialing
Why Washington ProviderOne approval does not equal active Apple Health managed-care participation for therapy practices.
Montana Group Practice Enrollment
How Montana therapy groups should think about tax IDs, rendering clinicians, locations, subparts, and provider records.
Magellan Idaho Credentialing
How Idaho therapists should think about Magellan of Idaho credentialing, CAQH, contracting, and recredentialing.
Verify Apple Health Eligibility
A Washington therapy-practice workflow for checking Apple Health eligibility, managed-care payer, FFS coverage, and claim route.
Provider Linking vs Affiliations
Understand current Montana provider linking and future MTHCS affiliations so group claims do not break during modernization.
Availity for Idaho IBHP
How Idaho therapists should place Availity Essentials in the Magellan/IBHP workflow without confusing it with the state TPA.
Apple Health Claims: ProviderOne vs MCOs
How Washington therapists should route Apple Health claims between ProviderOne fee-for-service and managed-care plans.
Verify Montana Medicaid Eligibility
How Montana therapists should verify Medicaid eligibility, program, coverage, and authorization needs before sessions.
Verify Idaho Medicaid Eligibility
A therapist-focused checklist for verifying Idaho Medicaid, IBHP, MMCP, and Idaho Medicaid Plus eligibility before billing.
Apple Health Prior Auth for Therapists
How to route Washington Apple Health prior authorization through ProviderOne or a managed-care plan for therapy services.
Montana Medicaid Claims for Therapists
Montana Medicaid claims guide for therapists using portal claims, MATH, EDI, clearinghouses, remittance, and denial tracking.
Idaho Medicaid Claims Routing
How Idaho therapists should route Medicaid claims among Magellan, Gainwell, Molina, and UnitedHealthcare after eligibility verification.
Apple Health Telehealth Billing for Therapists
Washington Apple Health telehealth billing guide for therapists: HCA policy, mental health services, audio-only, and MCO checks.
Montana Medicaid Prior Authorizations
How therapists should approach Montana Medicaid prior authorization checks, documentation, tracking, and renewals.
Idaho IBHP Prior Authorizations
How therapists should check Idaho IBHP prior authorization requirements without assuming every therapy visit has the same rule.
Apple Health Provider Revalidation
How Washington therapists can keep ProviderOne enrollment active through revalidation, provider-file updates, and documentation checks.
Montana Medicaid Telehealth Billing
Montana Medicaid telehealth billing guide for therapists covering source hierarchy, GT, POS 02, telephone, and current rules.
Idaho Medicaid Telehealth Billing
A practical checklist for Idaho Medicaid telehealth billing across state, IBHP, and dual-plan workflows.
Apple Health Behavioral Health Enrollment
Washington Apple Health behavioral-health provider enrollment for outpatient therapy, FFS, IMC, BHSO, and CMHA-related workflows.
Montana Medicaid Revalidation
How Montana Medicaid provider revalidation works, why the five-year cycle matters, and how practices protect payment.
Idaho Medicaid Provider Revalidation
How Idaho therapy practices should manage Medicaid provider revalidation notices, deadlines, records, and Magellan maintenance.
CHPW Credentialing for Therapists
Community Health Plan of Washington Apple Health credentialing checklist for therapy practices and behavioral-health providers.
In-Training Mental Health Enrollment
Montana Medicaid enrollment guide for in-training mental health professionals, supervisors, settings, and billing readiness.
Idaho Medicaid Denials and Appeals
How Idaho therapists should classify Medicaid denials before deciding on correction, review, reconsideration, dispute, or appeal.
Coordinated Care Credentialing for Therapists
Coordinated Care Apple Health credentialing guide for Washington therapists, groups, behavioral-health providers, and Apple Health Core Connections.
Adult vs Child Behavioral Health
How therapists route Montana Medicaid behavioral health rules across adult, child, SUD, provider-type, and general manuals.
Idaho Medicaid Plus and MMCP
How Idaho therapists should handle dual-plan Medicaid members whose behavioral-health workflow may not follow standard IBHP routing.
Molina Apple Health Credentialing
Molina Washington Apple Health credentialing guide with HCA NPI prerequisites and stale ProviderSource warning.
Primary Care Montana Replaced Passport
What therapists and billers need to know after Primary Care Montana replaced Passport, CPC+, and PCMH on July 1, 2026.
Idaho YES for Child Therapists
A provider-facing map of Idaho YES, Magellan/IBHP, Liberty assessments, authorizations, and claim routing for child therapists.
UHC Community Plan WA Credentialing
UnitedHealthcare Community Plan of Washington credentialing paths for behavioral-only and integrated therapy practices.
Montana Medicaid Denials and Appeals
How Montana therapists triage Medicaid denials, corrected claims, reconsiderations, appeals, and behavioral health disputes.
Idaho WITS Sunset 2026
A time-sensitive checklist for Idaho SUD providers moving off WITS in July-October 2026.
Wellpoint Washington Credentialing
Wellpoint Washington Apple Health credentialing guide for therapists, including Amerigroup naming and Availity enrollment.
Montana Claims System 2027
What therapy practices should do now for Montana Healthcare Claims System 2027 readiness, affiliations, training, and testing.
Idaho Medicaid Managed Care 2030
What Idaho therapy practices should monitor as DHW plans a comprehensive Medicaid managed-care transition targeted for 2030.
HMK vs HMK Plus for Therapists
How child therapists should distinguish Healthy Montana Kids, HMK Plus, Medicaid, network setup, authorization, and claims.
Montana SUD Provider Enrollment
Montana Medicaid enrollment guide for SUD providers covering state approval, ASAM/service levels, Medicaid setup, and claims.
Tighter Illinois Cigna Directory Deadlines
Illinois Cigna providers must report directory changes electronically within 10 business days. Learn the deadlines, submission routes, and practice checklist.
Virginia Medicaid Credentialing for Therapists
How MES, PRSS, Cardinal Care, and MCO contracting fit together for Virginia therapists.
Enroll in Virginia Medicaid as a Therapist
A plain-English PRSS enrollment checklist for Virginia therapists and behavioral health groups.
Access Virginia Medicaid MES and PRSS
How therapists use MES and PRSS provider portal access for enrollment, maintenance, eligibility, claims, and records.
PRSS vs Cardinal Care MCO Credentialing
Why Virginia Medicaid PRSS enrollment and Cardinal Care MCO credentialing are separate steps.
Verify Virginia Medicaid Eligibility
How Virginia therapists should verify Medicaid eligibility, Cardinal Care plan assignment, and claim lane.
Virginia Medicaid Claims for Therapists
How Virginia therapists route Medicaid claims between fee-for-service and Cardinal Care MCOs.
Virginia Medicaid Service Authorizations
How Acentra, Atrezzo, MES, and Cardinal Care MCOs fit into Virginia Medicaid behavioral health authorizations.
Virginia Medicaid Telehealth Billing
What Virginia therapists should check before billing Medicaid telehealth services.
Virginia Medicaid Behavioral Health and ARTS
A billing and credentialing map for Virginia Medicaid mental health and ARTS providers.
Virginia Behavioral Health Redesign
What Virginia Medicaid’s behavioral health redesign delay means for CMHRS and therapy providers.
Cardinal Care MCO Credentialing
How therapists should approach Virginia Cardinal Care MCO contracting and participation checks.
Tennessee Medicaid Credentialing
How Tennessee therapists should think about TennCare registration, Data Spring/CAQH, Medicaid IDs, Online Services, and MCO credentialing.
How to Enroll in TennCare as a Therapist
A therapist-friendly TennCare enrollment guide covering the provider registration portal, Data Spring/CAQH, Medicaid IDs, and next steps.
Authorizing Your Biller for CHAMPS Access
How to add your biller as a user in Michigan Medicaid's CHAMPS portal and grant full access for eligibility, claims, and prior authorizations.
The TennCare Provider Registration Portal
How the TennCare Provider Registration Portal works with Data Spring/CAQH for therapist Medicaid ID setup and maintenance.
What to Do If You Lost Access to CHAMPS
Locked out of Michigan Medicaid's CHAMPS portal? Reset your MiLogin password, restore missing access, and recover Domain Administrator rights.
TennCare Group Practice Registration
What Tennessee therapy groups should understand about TennCare Medicaid IDs, ownership, rosters, locations, and individual clinician links.
Michigan Medicaid Credentialing for Therapists
Learn how CHAMPS, MiLogin, Medicaid Health Plans, PIHPs, and CMHSPs fit together for Michigan therapy practices.
TennCare Medicaid ID vs MCO Credentialing
The Tennessee credentialing mistake that delays therapy claims: confusing a TennCare Medicaid ID with managed-care network participation.
How to Enroll in Michigan Medicaid
A practical guide to Michigan Medicaid provider enrollment in CHAMPS for therapists and behavioral health practices.
Set Up TennCare Online Services
How Tennessee therapy practices should use TennCare Online Services / Interchange for eligibility and transaction workflows.
Create MiLogin Access for CHAMPS
Learn how MiLogin fits into CHAMPS access for Michigan Medicaid provider enrollment, claims, eligibility, and prior authorization.
TennCare Biller Access
How a Tennessee provider should give a biller separate TennCare Online Services staff access instead of sharing an administrator password.
Verify TennCare Eligibility
A practical eligibility checklist for Tennessee therapists seeing TennCare members, including date span, MCO assignment, and claim routing.
CHAMPS vs Medicaid Health Plan Credentialing
Understand why Michigan Medicaid CHAMPS enrollment is not the same as Medicaid Health Plan network credentialing.
TennCare Claims for Therapists
How Tennessee therapists should think about TennCare MCO claims, crossover claims, Online Services, and claim-route verification.
Verify Michigan Medicaid Eligibility
Learn how Michigan therapists should verify Medicaid eligibility, Benefit Plan IDs, MHP assignment, and TPL before sessions.
TennCare Telehealth Billing for Therapists
How Tennessee therapists should verify TennCare telehealth billing rules across state guidance, MCO policies, eligibility, and claim routing.
Michigan Medicaid Claims for Therapists
A practical guide to Michigan Medicaid claim routing for therapists: fee-for-service, Medicaid Health Plans, PIHPs, and CHAMPS.
TennCare Behavioral Health for Therapists
How Tennessee therapists should understand TennCare behavioral health routing, MCO assignment, Health Link context, and network checks.
Michigan Medicaid Prior Authorization
Learn how Michigan Medicaid prior authorization works in CHAMPS and what behavioral health providers should verify first.
TennCare Revalidation
How Tennessee providers keep a TennCare Medicaid ID active through revalidation, current provider updates, licenses, locations, and CAQH/Data Spring.
Michigan Medicaid Telemedicine Billing
A practical Michigan Medicaid telemedicine billing guide for therapists covering audio-visual, audio-only, modifiers, and verification steps.
BlueCare and TennCare Select Credentialing
What Tennessee therapists should verify before applying to BlueCare or TennCare Select, including TennCare Medicaid ID, CAQH, and provider-load checks.
Michigan Medicaid Behavioral Health Routing
Learn how Michigan Medicaid behavioral health routing works across Medicaid Health Plans, PIHPs, and CMHSPs.
Wellpoint Tennessee Credentialing
How therapists should prepare for Wellpoint Tennessee credentialing, including TennCare Medicaid ID, CAQH/Data Spring, Availity, and provider-load checks.
Michigan Mental Health Framework Delay
What Michigan Medicaid providers should know about the delayed Mental Health Framework and MHP vs PIHP responsibility changes.
UHC Community Plan Tennessee Credentialing
What Tennessee therapists should verify for UnitedHealthcare Community Plan of Tennessee credentialing, behavioral health, authorization, and claims.
Michigan Medicaid Health Plan Credentialing
Learn how therapists should approach credentialing with Michigan Medicaid Health Plans after CHAMPS enrollment.
Oregon Medicaid Credentialing for Therapists
How OHP enrollment, the MMIS Provider Portal, Open Card, and CCO credentialing fit together for Oregon therapists — the plain-English map.
Enroll in Oregon Medicaid as a Therapist
A practical guide to OHP provider enrollment for therapists: what to gather, where the online request lives, and why CCO steps come afterward.
Create an Oregon Medicaid MMIS Account
How therapists set up Oregon Medicaid MMIS Provider Portal access after OHP enrollment — the PIN letter, supported browsers, and what the portal does.
Give Your Biller Access to Oregon MMIS
How Oregon Medicaid Provider Portal access works: add your biller as a clerk under the site administrator, and never share your login.
OHP Enrollment vs CCO Credentialing
OHP enrollment and CCO credentialing are not the same. Learn the difference before seeing Oregon Medicaid clients.
Verify OHP Eligibility Every Session
OHP eligibility is more than active coverage. Learn how Oregon therapists check CCO enrollment, Open Card status, and claim routing.
Oregon Medicaid Claims: Open Card vs CCO
When do therapists bill OHA/Open Card vs a CCO? A claims-routing guide for Oregon Medicaid — payer ID ORDHS, the portal, EDI, and why the lane matters.
OHP Prior Authorizations for Therapists
A practical guide to Oregon Medicaid prior authorization for therapists — when routine outpatient therapy needs PA, and OHA vs. CCO routing.
OHP Telehealth Billing for Therapists
Oregon OHP telehealth billing for therapists under OAR 410-120-1990: consent, licensure, POS 02 vs POS 10, and modifier 95 vs modifier 93.
OHP Billing Change for BH Associates
OHA is changing OHP Medicaid billing rules for board-registered behavioral health associates. Learn the July 1, 2027 date and what to verify.
Lane County OHP: PacificSource to Trillium
PacificSource no longer serves as a Lane County OHP CCO. What providers should verify now for Trillium — eligibility, claims, authorizations, contracting.
CareOregon / Health Share Credentialing
What therapists should know about CareOregon/Health Share provider contracting, OHP Medicaid IDs, and CareOregon Connect before applying.
Medi-Cal Group vs. Individual NPI-2 Rules
Your PC's NPI-2 doesn't automatically make it a Medi-Cal group. Learn when a California professional corporation enrolls as individual vs. group.
How to Create a Medi-Cal PAVE Account
How California therapists create a Medi-Cal PAVE account: set up your User and Business Profiles, what to have ready, and how to hand the rest to your biller.
Give Your Biller Access to Medi-Cal PAVE
A step-by-step guide for California therapists: invite your biller or credentialing team into your Medi-Cal PAVE account and pick the right user role.
Ohio Medicaid Credentialing for Therapists
How ODM enrollment, the PNM portal, centralized credentialing, and per-MCO contracting fit together for Ohio therapists — the plain-English map.
How to Enroll in Ohio Medicaid as a Therapist
Step-by-step guide to enrolling as an Ohio Medicaid provider through the PNM module: OH|ID setup, individual vs group enrollment, and what happens next.
Create an OH|ID & PNM Account (Ohio Medicaid)
Set up your OH|ID, reach the Ohio Medicaid PNM provider portal, and understand what you can do once you're in. OH|ID vs PNM, explained.
Give Your Biller Access to Ohio Medicaid PNM
How to delegate Ohio Medicaid PNM access to a biller or billing partner the safe way: add them as an Agent under their own OH|ID, not by sharing your login.
Ohio Medicaid: Credentialing vs Contracting
In Ohio you're credentialed once by ODM, but you still contract with each managed-care plan. Here's the difference and why it drives denials.
Verify Ohio Medicaid Eligibility Each Session
How to check Ohio Medicaid eligibility in PNM and identify which MCO, OhioRISE, or FFS a member is in — before every session — to avoid denials.
Ohio Medicaid Claims: FFS vs Managed Care
How Ohio Medicaid claims route: fee-for-service through PNM vs managed care through each plan, behind one EDI front door (OMES / Gainwell).
Prior Auth for Ohio Medicaid Therapists
How prior authorization works across Ohio Medicaid FFS, each MCO, and OhioRISE — plus the 2026 CMS-0057-F rules and standardized BH/SUD PA forms.
Ohio Medicaid Telehealth Billing Guide
How Ohio Medicaid covers telehealth therapy under OAC 5160-1-18 (effective 1/1/2026): place of service, the GT modifier, U-modifiers, and 2025-2026 codes.
Ohio Medicaid License Tiers for Therapists
Independent (LPCC/LISW/IMFT) vs dependent (LPC/LSW/MFT) — who can enroll with Ohio Medicaid and bill, and who needs supervision.
Ohio Medicaid 2026: BH Prior-Auth Changes
What Ohio's 2026 behavioral health prior-authorization changes mean for therapy practices and billers.
CareSource Ohio Credentialing for Therapists
How to contract and get in-network with CareSource in Ohio after ODM centralized credentialing — for therapy practices.
Authorizing Your Biller for Priority Health
Step-by-step guide to setting up your Priority Health Prism account with ID.me, becoming a provider Security Administrator, and approving your biller.
UMR Is Moving Optum Pay Payments to Zelis
UMR-administered plans are moving provider payments off Optum Pay and onto Zelis, which can default you into a virtual card that skims 2–3% per payment.
UMR Pays Through Zelis: Avoid the 3% Fee
UMR routes provider payments through Zelis, often as virtual cards or fee-based EFT that skim 2–3%. You're entitled to no-fee standard ACH EFT instead.
Bill Under a PLLC or PC, Not Your SSN
Billing insurance under your SSN works at first but quietly creates credentialing and contract problems. A PLLC or PC with its own NPI Type 2 is cleaner.
How to Add Bomi as Your Biller in TherapyNotes
A step-by-step guide to giving Bomi billing access to your TherapyNotes account by adding us as a Practice Biller user.
Meritain Health & Echo Health: Avoid 3% Fee
Meritain Health (an Aetna company) routes payments through Echo Health / QuicRemit as virtual cards that skim 2–3%. Switch to no-fee standard ACH EFT.
Echo Health (QuicRemit): Avoid the 3% Fee
ECHO Health pays many claims as QuicRemit virtual cards that skim 2–3%. Federal law gives you the right to no-fee standard ACH EFT — here's how to opt out.
HealthLink & Zelis: Avoid the 3% Card Fee
HealthLink routes payments through Zelis as virtual cards or fee-based EFT that skim 2–3%. You're entitled to no-fee standard ACH EFT instead.
Allegiance & Zelis: Avoid the 3% Card Fee
Allegiance routes payments through Zelis as virtual cards or fee-based EFT that skim 2–3%. You're entitled to no-fee standard ACH EFT instead.
Auxiant & Zelis: Avoid the 3% Card Fee
Auxiant routes payments through Zelis as virtual cards or fee-based EFT that skim 2–3%. You're entitled to no-fee standard ACH EFT instead.
Quest Behavioral Health & Zelis: 3% Fee
Quest Behavioral Health routes payments through Zelis as virtual cards or fee-based EFT that skim 2–3%. Switch to no-fee standard ACH EFT.
Zelis Skims 3% — Switch to No-Fee EFT
Zelis sends many insurance payments as virtual cards or fee-based EFT that skim 2–3%. Federal law gives you the right to no-fee standard ACH EFT instead.
Insurance Virtual Cards: Switch to EFT
Payers send therapy payments as single-use virtual cards that skim a ~3% fee. Here's how to get reissued as a check and enroll in EFT direct deposit.
Out-of-Network Billing for Therapists
Whether you can bill a payer you're not paneled with, and your client's options: out-of-network benefits, a superbill, a single-case agreement, or self-pay.
Medicare Incident-To & Supervised Billing
Why Medicare generally won't let you bill a pre-licensed therapist's psychotherapy under a supervisor like commercial payers do — and what to do instead.
UnitedHealthcare (UHC) Supervised Billing
How UnitedHealthcare (UHC) handles supervised billing for pre-licensed therapists — the most restrictive major commercial payer, and contract-dependent.
Aetna Supervised Billing for Supervisees
How Aetna handles supervised (supervisory) billing for provisionally- and pre-licensed therapists, and why roster contracting is often the cleaner path.
Cigna Supervised Billing for Supervisees
How Cigna handles supervised billing for pre-licensed therapists — billing a supervisee's sessions under a credentialed supervisor as the rendering provider.
Good Faith Estimates & the No Surprises Act
What the No Surprises Act requires of therapists: who needs a Good Faith Estimate, what it must include, and why it clears you to bill self-pay.
Add Bomi as Your Biller in SimplePractice
A step-by-step guide to giving Bomi billing access to your SimplePractice account by adding us as a Practice Biller team member.
BCBSIL Pass-Through & Trainee Billing NPIs
BCBSIL says licensed behavioral health providers should bill under their own rendering NPI, while qualifying trainee services may use a supervisor's NPI.
Authorizing Your Biller for Availity
How to register your Availity Essentials account and add your biller to your team so they can handle eligibility, claims, and attestations for you.
Counseling Compact in Indiana: Can You Bill?
The Counseling Compact is live in Indiana and Georgia. What Indiana LMHCs and group practices need to know about privileges, credentialing, and billing.
Aetna Mental Health On Demand & Therapists
Aetna is rolling out Mental Health On Demand for self-insured plans in 2027. What independent therapists should watch on access, referrals, and AI workflows.
Add an Unregistered Biller to Virginia PRSS
How a Virginia Medicaid provider adds a first-time biller as an Unregistered Delegate in MES/PRSS.
Add a Registered Biller to Virginia PRSS
How a Virginia Medicaid provider adds an existing PRSS biller as a Registered Delegate using a last name and Relationship Code.
CAQH Is Becoming DataSpring: Therapist Guide
CAQH has rebranded as DataSpring. What therapists and group practices need to know about profiles, attestations, and credentialing data.
Mental Health CPT Codes: A Therapist's Guide
A plain-English lookup guide to common mental health CPT and HCPCS codes for therapists, including psychotherapy, testing, and telehealth.
Minnesota Medicaid Revalidation & Cash Flow
Minnesota's Medicaid revalidation shows how credentialing, enrollment, and documentation gaps become a cash-flow crisis for behavioral health providers.
Medicare Teletherapy Billing Rules in 2026
Medicare behavioral telehealth is more stable in 2026, but therapy practices still need clean POS codes, modifiers, and documentation for claims.
Illinois 90837 Rates Could Jump in 2027
Illinois HB1085 (Public Act 104-0446) sets a 2027 reimbursement floor for in-network mental health services. What therapists billing 90837 should know.
BCBSM Incident-to Billing: Michigan Groups
BCBSM and BCN are changing incident-to billing for commercial members. What Michigan therapy groups should review for rosters, NPIs, and modifiers.
Illinois HB1806: AI for Notes & Billing
Illinois HB1806 does not ban every AI tool in therapy practices. It separates administrative AI, documentation support, and AI that acts like the therapist.
BCBSNM and Lovelace Reach a New Deal
BCBSNM and Lovelace reached a new four-year agreement, avoiding a major New Mexico network disruption. What therapists and providers should note.
Therapy Platforms & the Reimbursement Squeeze
Alma, Aetna, Optum, and Headway reimbursement changes point to a trend: therapy platforms scale fast while payer contracts turn less favorable.
What's Going On With Alma, Aetna, and 90837?
Alma providers face an Aetna-related reimbursement change for CPT codes 90837 and 90834. Here's what is changing, what isn't, and what to document.
Best Medical Billing for Illinois Therapists
The best billing service for Illinois therapists owns the whole pipeline—credentialing, eligibility, claims, denials, and patient balances.
BCBSIL Behavioral Health UM Changes for 2026
BCBSIL's 2026 behavioral health update, tied to the Illinois Health Care Protection Act, changes utilization management rules for solo and group therapists.
BCBS IL: Use Medicaid ID for BCCHP Claims
As of February 1, 2026, BCBSIL says providers must use the Medicaid RIN instead of the subscriber ID on claims for BCCHP members, as required by HFS.
Aetna Credentialing for Illinois Therapists
A step-by-step guide for Illinois LCPCs, LCSWs, and LMFTs to navigate Aetna credentialing—prerequisites, application process, and common pitfalls.
Illinois Medicaid Credentialing: IMPACT PE
A step-by-step guide for mental health providers to credential with Illinois Medicaid via the IMPACT Provider Enrollment system—timelines and common pitfalls.
How to Credential Medicare as a Therapist LLC
A guide for Illinois therapists (LCPC, LCSW, LMFT) to navigate Medicare credentialing for a PLLC or group practice—PECOS setup and common pitfalls.
Authorize Your Biller for Medicare Enrollment
Learn how to authorize your biller for Medicare enrollment and get started with your billing process.
How to apply for an NPI Type 2
Step-by-step instructions for LLC therapists to request an organizational NPI Type 2 in NPPES without common mistakes.
NPI Type 1 vs Type 2 for LLC Therapists
LLC therapists often need both NPI numbers—learn why each exists, when to use them, and how they protect your practice.
Carle Health's 2026 Insurance Change to Cigna
Prepare for the upcoming insurance change from Health Alliance to Cigna for Carle Health employees in 2026.
Credentialing with BCBS IL for Therapists
A step-by-step guide for LCSWs, LCPCs, and LMFTs to get credentialed with Blue Cross Blue Shield of Illinois—timelines, rates, and common mistakes.