Rx Credentialing – Medical Billing and Credentialing Services for US Providers

New York Mental Health Credentialing Hub

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New York Mental Health Credentialing
New York Mental Health Credentialing Hub

New York Mental Health Credentialing Hub

Mental health providers face a nationwide shortage. More than 122 million people lived in a mental health professional shortage area in December 2024. Access depends not only on insurance coverage but also on the availability of in‑network clinicians. New York’s diverse counties range from dense urban areas to sparsely populated regions; this hub helps mental health professionals understand credentialing and find payer contacts so they can join networks and expand access.

Credentialing Basics & CAQH

Becoming an in‑network provider typically starts with the Council for Affordable Quality Healthcare (CAQH) ProView. CAQH offers a centralized profile that most major payers use to collect demographic, licensure and malpractice information. Providers create a CAQH account, complete their profile with personal details, education and licensure history, practice locations, insurance coverage and work history, upload key documents (state license, malpractice certificate, W‑9, DEA certificate and CV) and authorize specific payers to access the profile. Missing or inconsistent information is a common cause of application delays, so double‑check your entries and upload clear, labelled documents. For a deeper dive into CAQH best practices, consult our Mastering CAQH Credentialing guide.

After completing the profile, providers must grant each insurer permission to view their CAQH data. Re‑attestation is required every 120 days to keep information current. Many commercial insurers, including Aetna, Cigna and UnitedHealthcare, require a CAQH profile before beginning credentialing. Medicaid programs also use CAQH but may have additional state‑specific steps. If you’re exploring teletherapy, our Telehealth Credentialing for Counselors article outlines how to navigate remote care requirements.

RxCredentialing offers a full suite of credentialing and billing services. Explore our insurance credentialing services and review our frequently asked questions for answers to common provider concerns.

Insurer‑Specific Guidance

Aetna

Aetna’s credentialing process begins with an online application submitted either via CAQH, Aetna’s provider portal or through direct contact with their Provider Relations department. Required documents include your medical or professional license, DEA certificate (if applicable), malpractice insurance, board certifications, education verification, work history, hospital privileges and references. The process typically takes 90–120 days and depends on the completeness of your submission and the responsiveness of your references. To ensure success, keep your CAQH profile up‑to‑date, gather all documentation in advance and follow up regularly on application status. Aetna requires recredentialing every three years. For a step‑by‑step walkthrough, see our Aetna credentialing guide.

Cigna / Evernorth

Cigna (now Evernorth) screens providers using industry standards issued by states, Medicare and the National Committee on Quality Assurance. Applicants must submit a signed participation agreement, a completed standard or state‑mandated application, active state license, professional liability coverage, admitting privileges (if applicable), any additional DEA or CDS licences, education and board certifications, sanction history and employment history. Cigna participates in CAQH’s Universal Credentialing DataSource, allowing providers to submit applications via CAQH. Providers are recredentialed every three years and have the right to review and correct their data and request status updates by contacting the Cigna Credentialing Department at 1‑800‑88Cigna.

UnitedHealthcare (Optum / UHC)

UnitedHealthcare uses the Onboard Pro tool for enrollment and credentialing. To get started you’ll need access to the UHC Provider Portal, your tax identification, legal name and contact information, and CAQH registration when required. Onboard Pro integrates with CAQH ProView in states that require it, reducing duplicate data entry, and provides immediate confirmation and a dashboard to track application status. For detailed instructions, consult our UnitedHealthcare credentialing guide.

EmblemHealth / Carelon Behavioral Health

EmblemHealth contracts with Carelon Behavioral Health (formerly Beacon Health Options) for behavioral health services. Carelon manages behavioral health credentialing and providers should call the Carelon national provider service line at 800‑397‑1630 for assistance. EmblemHealth requires completion of a CAQH credentialing application and may request additional forms, such as an ADA attestation or organizational credentialing application. If you’re looking to expand into telemental health, our New York telemental health practice guide explains the steps to get started.

New York Medicaid (eMedNY)

Licensed mental health counselors and marriage and family therapists must enroll in New York’s Medicaid program through the eMedNY system. Federal rules require screening of providers and ordering/referring clinicians; revalidation occurs at least every five years and an application fee may apply. For providers seeking to participate in federal programs, our Medicare credentialing guide covers the basics of enrolling as a Medicare provider and understanding overlapping requirements.

Insurance Directory

Use the filters above to narrow the list by county or insurer. Each card includes a brief description, a link to the insurer’s provider portal and a contact phone for credentialing or provider relations. Where specific instructions are unavailable, contact the payer’s provider services department and ask about mental health credentialing. All payers expect providers to maintain an up‑to‑date CAQH profile and carry adequate malpractice coverage.

Additional Resources

To support your credentialing journey, RxCredentialing.com offers a library of in‑depth articles and services. The resources below open in a new tab so you can explore them without leaving this page.

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Insurance Credentialing

$ 140 / Application
  • CAQH registration
  • NPI registration
  • Credentialing & Enrollments
  • Contracting & Negotiations
  • Direct deposit setup
  • Web Portal Setup for Eligibility & Claim Status Check
 

Practice Set-Up

$ 499 One Time
  • Company Formation
  • EIN Registration
  • Malpractice Insurance
  • Administrative Consultation
  • State Fee will be upon you
  • Practice Set-up Assistance
  • General Liability Insurance Assistance
  • Virtual office Space Assistance

Front Desk Assistance

$ 1599 /Month
  • Day to day practice administration
  • Appointment Scheduling
  • Eligibility and benefits check
  • Copay collection
  • Referral Coordination
  • Scheduling follow ups
  • Assist in telehealth visits

Medical Billing

$ 3%-5% / Collection
  • Demographic entry
  • Eligibility check
  • Benefits check
  • Authorization check
  • Charge entry
  • Claim submission
  • Payment posting
  • Denial management
  • Accounts receivable reporting

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