Learn how to leveraged Behave Health before, during, and after the M&A process. Command confidence and consistency throughout your organization as it grows.
Is Your Addiction Treatment Organization Ready for the DEA's New Telemedicine Rules?
RFK Jr Announces SAMHSA Closure - Addiction Treatment and Behavioral Health Brace for Big Changes with AHA
Behave Health Launches Technology Platform to Unify Recovery Residence Certification through Strategic Nationwide Alliance with NARR
Behave Health partners with NARR to revolutionize recovery residence certification nationwide. This groundbreaking alliance introduces the Behave Affiliate Management Platform (AMP), connecting over 7,150 certified recovery residences through standardized digital certification processes and real-time bed availability tracking. Learn how this partnership is transforming recovery housing management across America.
Part 7 of 7: Elevance Health Addiction Treatment Coverage: A Comprehensive Guide for Treatment Providers
This in-depth pillar article empowers rehab centers and behavioral health providers by demystifying Elevance Health’s insurance coverage for substance abuse treatment. Discover expert tips on benefit verification, ASAM guideline compliance, prior authorizations, concurrent reviews, and accurate billing & coding—all designed to enhance reimbursement and streamline administrative processes.
Part 6 of 7: Health Care Service Corporation (HCSC): Medical Necessity Criteria for Addiction Treatment
Explore our in-depth guide on HCSC’s Blue Cross Blue Shield plans as they embrace ASAM 4.0 for adult substance use disorder treatment. This post covers critical aspects including detox protocols, inpatient/residential rehab, outpatient services (PHP/IOP), medication-assisted treatment, and billing/coding insights. Stay informed on state mandates and provider best practices to ensure compliance and optimal patient care.
Part 5 of 7: Kaiser Permanente: Medical Necessity Criteria for Addiction Treatment Services
Discover how Kaiser Permanente integrates addiction treatment services using ASAM Criteria to determine medical necessity. This guide covers everything from detox and residential rehab to outpatient programs and MAT, including key insights on billing codes, authorization processes, and provider collaboration.
Part 4 of 7: Cigna: Medical Necessity Criteria for Addiction Treatment Services
Discover how Cigna leverages ASAM criteria to define clinical necessity for substance use treatment. This blog breaks down the detailed guidelines for detox, inpatient and residential rehab, PHP, IOP, and MAT—including key billing codes and documentation tips to streamline the authorization process.
Part 3 of 7: CVS Health (Aetna): Medical Necessity Criteria for Addiction Treatment Services
In Part 3 of our 7-part series, we detail CVS Health’s Aetna guidelines for addiction treatment services. This post breaks down key elements—from detox and inpatient rehab to PHP/IOP and MAT—highlighting the use of ASAM Criteria, precertification protocols, and essential billing codes to ensure medical necessity and optimal reimbursement.
Part 2 of 7: UnitedHealth Group: Medical Necessity Criteria for Addiction Treatment Services
Explore UnitedHealth Group’s evidence-based approach to substance use disorder (SUD) treatment. Our blog breaks down how ASAM Criteria guides decisions for detox, residential rehab, outpatient programs, and medication-assisted treatment, with essential billing codes and prior authorization tips to ensure smooth reimbursement.
Part 1 of 7: Understanding Medical Necessity Criteria in Addiction Treatment (Introduction)
Welcome to our comprehensive blog series on navigating medical necessity criteria for addiction treatment by insurers. This series unpacks how leading payers—from UnitedHealth Group to Kaiser Permanente—determine coverage for detox, rehab, and therapy services. Discover in-depth analyses of ASAM guidelines, insurer-specific requirements, prior authorization protocols, and key billing codes. Whether you’re a treatment provider or healthcare administrator, our expert insights will empower you to align your documentation with industry standards and overcome coverage hurdles. Dive in to transform insurance challenges into pathways for effective patient care.
The Definitive Guide to Verifying Therapist Licenses: A State-by-State Resource for Treatment Centers and Providers
Discover the definitive state-by-state guide to verifying therapist licenses. This resource empowers treatment center staff and providers to access official licensing and complaint filing information for mental health professionals across the United States, ensuring regulatory compliance and quality care.
Part 2 - Embracing Technology in Behavioral Health: Why Software is Essential
To illustrate, imagine an addiction treatment center juggling dozens of clients through detox, residential care, and outpatient follow-ups. Without a cohesive software system, the admissions team might use spreadsheets for intake, clinicians hand-write notes that get scanned (making it hard to search for information), and billing staff manually enter claims into a separate program.
Part 1 - Addiction Treatment EHRs: A Comprehensive Guide for Facility Administrators
Comprehensive Guide to Mental Health & SUD Treatment Credentialing
Credentialing is the backbone of professional practice in mental health and substance use disorder (SUD) treatment. It refers to the rigorous process of verifying and validating a provider’s qualifications, licensure, training, and experience before they are allowed to deliver care or receive reimbursement.
Comprehensive Eating Disorder Treatment Planning for Behavioral Health Professionals
CRM Systems in Addiction Treatment and Mental Health Treatment Facilities: Key Features and Benefits
Explore our comprehensive buyers guide on CRM systems designed for addiction treatment and mental health facilities. Learn how advanced lead management, personalized patient engagement, and automated compliance tracking can revolutionize your operations—ensuring better outcomes and improved efficiency. Get actionable insights to streamline your workflows and elevate patient care with Behave Health.
Insurance Reimbursement Rates for Addiction Treatment
Struggling with low insurance reimbursement rates for addiction treatment and mental health services? Our comprehensive guide breaks down the essential CPT & HCPCS billing codes, payer reimbursement strategies, and expert tips to reduce denials and increase revenue. Learn how to navigate Medicaid, Medicare, and private insurance billing effectively and ensure your facility gets paid what it deserves.
Luminello to SimplePractice: Pick BehaveHealth for Groups
Navigating the forced transition from Luminello to SimplePractice can be challenging—especially for larger behavioral health practices or those launching IOP/PHP programs. In this post, we compare Luminello, SimplePractice, and BehaveHealth to show how you can maintain smooth operations, optimize revenue, and deliver quality care. Learn why BehaveHealth stands out with advanced billing (including UB-04), team-based workflows, and integrated facility tools—essential for growing mental health organizations.