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4 min read
CAQH Profile Setup Guide for Therapy Providers
A complete guide to setting up and maintaining your CAQH ProView profile. Essential for OT, PT, and SLP providers who need to get credent...
Behavioral Health
Track psychologist licenses, therapist credentials, multi-state telehealth authorizations, and payer enrollments for every clinician in your practice. Credentialing Now replaces spreadsheets with a system designed for behavioral health.
Mental health practices juggle diverse license types, telehealth compacts, and supervision requirements. Our platform handles the complexity so your team doesn't have to.
Track psychology licenses, renewal deadlines, and continuing education requirements across every state your psychologists practice in, including EPPP documentation and specialty certifications.
Manage the full range of clinical license types in your practice. Track LCSW, LPC, LMFT, and LMSW credentials with state-specific renewal cycles, CE requirements, and scope-of-practice documentation.
Navigate PSYPACT and the Counseling Compact alongside individual state telehealth licenses. Track which providers are authorized to see patients in which states and when authorizations expire.
Upload supervision agreements and pre-licensure documentation to each clinician's file. Build custom checklists with reminders so onboarding and recurring credentialing tasks stay on track.
Manage insurance panel applications, revalidation timelines, and network status for behavioral health payers. Track which clinicians are paneled with which carriers and when re-credentialing is due.
Keep individual and organizational NPIs current with the correct taxonomy codes for each clinician type. Manage NPPES updates and ensure NPI records match payer enrollment data.
Add your psychologists, therapists, and counselors. Upload existing licenses, certifications, supervision agreements, and payer contracts. We'll help you get everything migrated.
The platform automatically monitors expiration dates for licenses, telehealth authorizations, CAQH attestations, and payer enrollments. You'll get alerts before anything lapses.
With every clinician's credentialing current and documented, your practice stays compliant and your revenue keeps flowing without interruption from lapsed credentials or dropped panels.
A behavioral health group rarely credentials one license type — it credentials five or six at once, each with its own board, renewal cycle, and payer rules. Here's what has to stay current for every clinician.
LCSWs, LPCs and LPCCs, LMFTs, licensed psychologists (PhD/PsyD), and psychiatrists (MD/DO) are each licensed by a different board with different renewal cycles and CE requirements. Payers verify the license type against the services billed, so a group practice is effectively running a separate licensure calendar per discipline.
Associate-level clinicians working under supervision — pre-licensed counselors, LMSWs, MFT associates — usually cannot enroll with payers in their own right. Practices need to know exactly when each supervisee reaches full licensure, because that date is when panel applications can finally go out and billing under their own name becomes possible.
Most commercial payers pull behavioral health applications from CAQH ProView, and every profile must be re-attested every 120 days. A missed attestation leaves the profile stale exactly when a payer checks it, delaying re-credentialing. Multiply 120-day windows across a dozen clinicians and the reminders alone justify a system.
Commercial enrollment commonly runs 60 to 150 days, and behavioral health panels close more often than most specialties — both Medicaid managed care and commercial plans routinely stop accepting new therapists in saturated areas. That makes tracking application status, waitlist positions, and follow-up dates part of the core workflow, not an afterthought.
Seeing a telehealth patient in another state generally requires a license in that state, because licensure follows the patient. Psychologists can gain multi-state authority through PSYPACT, and the Counseling Compact is extending similar mobility to counselors, but every compact authorization and out-of-state license adds another credential with its own expiration.
Every panel application and re-credentialing cycle asks for a current certificate of insurance, and payers expect practices to screen clinicians against the OIG and SAM.gov exclusion lists. For psychiatrists and prescribing NPs, DEA registration renewals join the list. These are routine items — which is exactly why they get missed in spreadsheets.
Usually not independently. Most commercial payers only panel independently licensed clinicians, so an associate-level counselor or social worker under supervision generally cannot enroll on their own. Some Medicaid programs and a minority of commercial plans allow supervised billing under the supervisor's credentials, but the rules vary by state and payer, which is why tracking each clinician's path to full licensure matters.
CAQH ProView requires re-attestation every 120 days. If a clinician misses the window, payers pulling from CAQH see a stale profile, which can hold up re-credentialing or new enrollments. Credentialing Now tracks CAQH attestation deadlines and sends automated reminders so every clinician in the group attests on time.
Closed panels are common in behavioral health for both Medicaid and commercial plans. Options include joining a waitlist, reapplying when the panel reopens, and appealing with documentation of network need, such as a specialty, language, or underserved-area gap the clinician fills. Because these efforts stretch over months, keeping each application's status, follow-up notes, and due dates in one place is what prevents them from dying quietly.
Generally yes. Licensure follows the patient, so a clinician seeing a telehealth patient in another state typically needs to be licensed there. Psychologists can practice telepsychology across participating states through PSYPACT, and counselors are gaining similar mobility as the Counseling Compact comes online, but each authorization has its own requirements and expiration to track.
See how Credentialing Now handles the complexity of mental health credentialing. Request a demo tailored to your practice.
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