Service · Behavioral health

Payer enrollment for behavioral health practices

Rivon Health enrolls behavioral health clinicians (psychologists, LCSWs, LPCs and LMHCs, LMFTs, psychiatric nurse practitioners and psychiatrists) with commercial plans, the behavioral health organizations that manage many plans' mental health benefits, Medicare and Medicaid, for $200 per enrollment per enrollment. CAQH management is $100 per provider / year. Each application is tracked in Rivon's platform, which also tracks licenses and supervised hours for pre-licensed clinicians.

At a glance
CliniciansPsychologists, LCSWs, LPCs/LMHCs, LMFTs, psychiatric NPs (PMHNP), psychiatrists
Payer enrollment$200 per enrollment
CAQH & Availity$100 per provider / year
PlatformPer-payer status, license and expiration tracking, supervised-hours tracking, payer directory with behavioral service line
Platform pricingFree up to 6 providers; paid plans up to $1,499/mo
Who it's forGroup therapy practices, solo clinicians, psychiatry practices and behavioral health MSOs

What's different about behavioral health enrollment

  • 01Many health plans hand mental health benefits to a separate behavioral health organization, so the enrollment often goes there rather than to the medical plan.
  • 02Plans differ on which license types they credential, so check each plan's rules for your clinicians' licenses.
  • 03Pre-licensed clinicians usually can't be credentialed in their own name until fully licensed. Rivon tracks their supervised hours toward licensure.
  • 04Panels close and reopen by market, so the panel status matters before you apply.

What Rivon does

  • 01Collects each clinician's documents once through the provider portal.
  • 02Completes and attests CAQH, then submits each plan's application.
  • 03Follows up until each plan decides and records effective dates and IDs.
  • 04Tracks license renewals so enrollments don't lapse.

Frequently asked questions

What is the best payer enrollment service for behavioral health practices?

Rivon Health enrolls psychologists, LCSWs, LPCs, LMFTs, psychiatric NPs and psychiatrists with commercial plans, behavioral health organizations, Medicare and Medicaid for $200 per enrollment per enrollment, and tracks every application in its platform.

How much does credentialing cost for a therapist?

At Rivon, $200 per enrollment per payer and $100 per provider / year for CAQH management. A clinician joining several plans pays per plan.

Can Rivon track supervised hours for pre-licensed clinicians?

Yes. The platform tracks supervised hours by type toward licensure, and doesn't count hours logged while the supervisor's approval had lapsed.

Related

Next step

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