Behavioral Health Payer Contracting & Network Strategy
Most behavioral health organizations leave significant reimbursement on the table — not because payers won’t pay more, but because organizations lack the strategy, data, and negotiating infrastructure to secure better terms.
Schedule a Consultation →“Payer contracts define the financial ceiling of a behavioral health program. Most organizations never renegotiate — and quietly accept that ceiling forever.”
What We Do
Contracting Services Across Every Stage of Payer Strategy
Contract Negotiation & Rate Strategy
- Reimbursement rate benchmarking
- Rate increase negotiation strategy
- Fee schedule optimization
- Per diem and bundled rate structures
- Contract terms and utilization management review
Credentialing & Network Enrollment
- Payer credentialing application management
- CAQH profile setup and maintenance
- Network participation applications
- Credentialing timeline management
- Re-credentialing and roster management
Network Expansion
- Target payer identification and prioritization
- In-network application pipeline management
- Medicaid managed care contracting
- Commercial payer network access
- OHP and state Medicaid enrollment
Single Case Agreements
- SCA negotiation and rate benchmarking
- Authorization and documentation support
- SCA tracking and management systems
- Conversion of SCAs to in-network contracts
- Emergency and out-of-network billing guidance
Contract Management & Compliance
- Contract database and term tracking
- Rate effective date monitoring
- Renewal and renegotiation cycle management
- Payer compliance review
- Contract performance analysis
Payer Relations & Strategy
- Payer relationship development
- Medical director engagement strategy
- Clinical outcomes data for negotiations
- Payer audit response support
- Value-based contract assessment
Get Started
Start With a Contracting Assessment
We benchmark your current rates against market, identify the payer relationships with the most negotiation upside, and build a structured contracting strategy before you enter any renegotiation.
Schedule a Consultation →