Navigating Credentialing and Contracting for Behavioral Health

The Process of Credentialing and Contracting: Credentialing and contracting are often interrelated. After a provider has been credentialed, they enter the contracting phase, where terms and conditions for working within the network are negotiated. Contracting ensures that providers receive agreed-upon rates for their services and that both parties understand the responsibilities involved.

Key Points of Contracting:

1. Rate Negotiations: Contracts outline payment rates for services, helping providers secure fair compensation.


2. Network Obligations: Contracts clarify the provider’s role within the network, including any requirements for reporting or service standards.


3. Contract Terms: Understanding contract terms helps providers know what’s expected and what protections they have under the agreement.

Behavioral Proz’s Expertise in Contracting: Behavioral Proz assists providers in negotiating contracts that align with their financial goals and professional standards. Their in-depth knowledge of network contracts empowers providers to secure favorable terms, ensuring sustainable income and a clear understanding of obligations.