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Behavioral Health Provider Enrollment
Questions and Answers
1. Do Specialty Providers wanting to provide Core services need to have the DATA
license before they apply?
A: Yes, all providers requesting
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How to fill out behavioral health provider enrollment

How to fill out behavioral health provider enrollment:
01
Visit the website or contact the relevant agency to obtain the behavioral health provider enrollment form.
02
Carefully read and understand all instructions provided on the form.
03
Fill in your personal and professional information accurately and completely, including your name, contact details, and professional credentials.
04
Provide information about your practice, such as the name, address, and contact details of your organization, if applicable.
05
Specify the type of behavioral health services you offer and the populations you serve.
06
Attach any required documentation, such as copies of your professional licenses, certifications, or accreditation.
07
Submit the completed enrollment form along with any additional required documents by the specified deadline.
Who needs behavioral health provider enrollment:
01
Behavioral health professionals, including psychologists, counselors, therapists, and social workers, who want to provide services through government-funded or private insurance programs.
02
Organizations offering behavioral health services, such as clinics, hospitals, and treatment centers, that wish to be eligible for reimbursements or to be included in network directories.
03
Professionals or organizations seeking to join and participate in behavioral health networks or partnering with insurance plans to offer services to their members or clients.
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What is behavioral health provider enrollment?
Behavioral health provider enrollment is the process by which providers of behavioral health services apply to become a participating provider in a health insurance plan or network.
Who is required to file behavioral health provider enrollment?
Behavioral health providers, such as therapists, counselors, psychiatrists, and psychologists, are required to file behavioral health provider enrollment.
How to fill out behavioral health provider enrollment?
To fill out behavioral health provider enrollment, providers must complete an application form, submit necessary documentation, and meet all requirements set by the health insurance plan or network.
What is the purpose of behavioral health provider enrollment?
The purpose of behavioral health provider enrollment is to ensure that patients have access to a network of qualified providers who can deliver high-quality behavioral health services.
What information must be reported on behavioral health provider enrollment?
The information required on behavioral health provider enrollment may include provider credentials, contact information, areas of specialization, billing codes, and proof of licensure and certifications.
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