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Minnesota

Minnesota Behavioral Health Credentialing and Payer Enrollment

Everywhere else, “keep your CAQH current” is decent advice. In Minnesota it’s half the job. Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, UCare and PreferredOne don’t credential from CAQH at all. They run on the Minnesota Uniform Credentialing Application, filed through ApplySmart at the Minnesota Credentialing Collaborative. Optum and Aetna still want CAQH, and Sanford wants its own forms. So you keep two files, and the one you forget is the one that stalls.

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Minnesota payers and timelines

Why Minnesota is different

Four things about this state that don’t transfer from anywhere else.

Credentialing habits are portable. Minnesota is where that stops being true. Two of these help you and two of them cost you, and you need all four before you pick an order.

The application isn’t CAQH

Minnesota Uniform Credentialing Application, filed in ApplySmart
  • Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, UCare and PreferredOne all run on the Minnesota Credentialing Collaborative’s ApplySmart system. HealthPartners requires Minnesota clinics to submit initial applications through it
  • The collaborative is a joint effort of the Minnesota Council of Health Plans, the Minnesota Hospital Association and the Minnesota Medical Association. It exists because this market is unusually nonprofit and the plans built one shared front door instead of five separate ones
  • Optum, Aetna and Evernorth still credential from CAQH, and Sanford Health Plan runs its own platform. So you maintain both files, and neither one covers the other
  • The forms were reissued effective January 1, 2025, revised to strip out the health-condition questions the 2024 statute now bars. Minnesota plans stopped accepting the prior versions. A saved template from a couple of years ago is the wrong form

Medicaid comes first, even with no Medicaid ambitions

Blue Cross and Blue Shield of Minnesota’s hard prerequisite
  • Blue Cross states that a contract request can’t be considered until you’ve enrolled with Minnesota Health Care Programs and received your enrollment or welcome letter
  • So the state’s largest commercial contract sits behind a Medicaid step. A provider who never plans to see a Medicaid patient still does it. Almost nobody guesses that from outside Minnesota
  • There’s a second reason anyway. MHCP enrollment is required before you order, refer, prescribe or bill for a Medicaid member, and a prescription written by a prescriber who isn’t enrolled isn’t covered under fee-for-service MHCP
  • Practical effect on sequencing: we run the MPSE enrollment first so nothing else queues behind it

45 days on a clean file, and 3 business days to tell you it isn’t

Minn. Stat. 62Q.097, with a 2024 addition worth knowing
  • A health plan company has to tell you within three business days if your application isn’t clean, and decide a clean application within 45 days
  • One 30-day extension only, and only if it identifies a substantive quality or safety concern
  • It also has to confirm on request that your application is clean and tell you the date it will decide by. That’s the single most useful sentence to quote when a Minnesota application goes quiet, and we quote it
  • Subdivision 3, added in 2024, bars a credentialing application from asking about past health conditions, current conditions being treated so they don’t affect your practice, or anything that wouldn’t affect competent, safe and ethical practice. If a question on a form feels wrong, it may be

No back pay, and one plan says so out loud

The counterweight to that clock
  • Minnesota has no retroactive payment law for the credentialing gap. Some states make a carrier pay you for services delivered while you waited. This one doesn’t
  • UCare states plainly that it does not apply effective dates retroactively. Medica says it doesn’t accept claims for dates of service before credentialing is complete
  • So a late application here is unrecoverable rather than merely delayed. That’s the whole argument for filing early and filing complete, because the 45-day clock only starts on a clean file
  • It also changes how we sequence a start date. We work backwards from when you want to see patients, not forwards from when you signed with us

Where the delays actually happen

Getting on a panel isn’t the same as getting paid.

Most of the waiting happens in the gaps between these five steps. We work all of them, and we tell you which one you’re actually sitting in.

Credentialed›contracted›loaded›connected›payable

Two tracks

Medicaid and commercial work differently here.

Most Minnesota practices want both, and here they’re linked, because the Medicaid step gates the biggest commercial contract in the state.

Minnesota Health Care Programs

One state enrollment, then a county map.

MHCP covers Medical Assistance, which is Minnesota’s Medicaid, and MinnesotaCare. Most members sit in managed care through the Prepaid Medical Assistance Program, with fee-for-service still live behind it. Minnesota also runs program lines you won’t see named this way elsewhere: MSHO, MSC+ and SNBC. There’s no statewide behavioral health carve-out vendor. Behavioral health rides with the member’s plan.

How you enrollThrough the MPSE portal, reached from your MN-ITS account. Get the NPI from NPPES first, because MHCP won’t take the application without it. DHS asks you to allow 30 days for processing.
Forms you’ll actually see

DHS-4016 enrollment applicationDHS-4138 provider agreementDHS-8355 MCO in-network agreementDHS-6287 privacy noticeDHS-3864 assurance statement

The Medicare question nobody warns you aboutMost Minnesota mental health professionals are expected to be Medicare-enrolled. If Medicare denied you, MHCP wants the denial letter plus form DHS-3864, resubmitted every 18 months. That’s a Minnesota-specific document with a repeating deadline, so it goes on a calendar.
County-based purchasers are real payersMinnesota is one of the last states with county-owned Joint Powers health plans holding their own Medicaid contracts. PrimeWest Health, South Country Health Alliance and Itasca Medical Care are not optional add-ons in their counties, they’re the local Medicaid payer. Hennepin Health is the only HMO in the state run by a local unit of government. Out-of-state credentialing shops miss all four routinely.
Revalidation is running hotFederal five-year cycle, plus Minnesota’s own Revalidate 2026 push, which required a large group of higher-risk providers to revalidate by May 31, 2026 and disenrolled the ones who missed it. DHS said openly that enrollment requests were running outside its 30-day window because of it. Don’t let a revalidation notice sit.

Commercial

Two files, two boundaries, and the same rule about your password.

Minnesota’s plan market is unusually nonprofit. Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica and UCare are all nonprofits, and until 2017 state law required HMOs here to be nonprofit at all. That’s why the local plans built a shared credentialing collaborative instead of each buying their own vendor, and why so much of the market runs on one application.

Your CAQH stays yoursYou complete and attest your own profile. We’re added as an authorized practice manager, so we keep the practice data current and get each payer authorized. We never ask for your password. Optum requires CAQH registration before you can start in Provider Express, and Aetna and Evernorth credential from it.
Your ApplySmart file works the same wayWe prepare the Minnesota Uniform Credentialing Application. You review and sign it. Use the current version, because the 2025 reissue killed the old ones. And answer the behavioral health questions carefully: HealthPartners asks applicants to name the age groups, services and verifiable areas of expertise they offer, and that’s the part of the file that argues for you.
Behavioral health has its own doorUnitedHealthcare goes through Optum and Provider Express. Cigna goes through Evernorth. Aetna keeps it in house but uses a separate behavioral health request for participation. Blue Cross, HealthPartners, Medica and UCare handle it in plan. Applying through the medical door at a carve-out carrier is the most common and most expensive mistake we see.
Network need is a live question hereBlue Cross puts behavioral health in what it calls managed specialties, so a request gets reviewed rather than automatically approved. HealthPartners is a health plan and a care system at the same time, which makes need a real factor. How you present your services and your county coverage matters more in Minnesota than it does in an open-panel state.
Seeing patients in other statesOne Blue Cross Minnesota contract reaches Blue members in other states through BlueCard, and its own contracting area already runs into border counties in North Dakota, South Dakota, Iowa and Wisconsin. Aetna, Cigna and UnitedHealthcare are national. What you need is a licence where the patient is, not another contract. Medicaid is the genuine exception.

Minnesota payers

Who you’ll apply to, and how long it usually takes.

These are typical ranges from a complete application, with the 45-day statutory determination in Minn. Stat. 62Q.097 sitting underneath the health plan companies. Payers control their own timelines, so we track them rather than promise them.

Blue Cross and Blue Shield of Minnesota

The anchor contract, and the one with a prerequisite
  • Usually: Blue Cross says an approved contract request typically takes 60 to 90 days, depending on whether facility or practitioner credentialing is needed. Confirm at submission
  • Before anything: MHCP enrollment. No enrollment or welcome letter, no contract review. This is the single most common Minnesota stall
  • Behavioral health: handled in plan, but classified as a managed specialty, so the request is reviewed rather than automatically approved
  • Reach: the contracting area is Minnesota plus border counties in North Dakota, South Dakota, Iowa and Wisconsin, and BlueCard carries you to Blue members from other states when you’re licensed there

HealthPartners

A health plan and a care system in one
  • Usually: HealthPartners asks that applications go in at least 90 days before your start date. You can’t see members or appear in the directory until credentialing is approved, and processing tracks how complete the file is. Recredentialing every three years
  • Path: the Minnesota Uniform Credentialing Application for medical and behavioral health alike, and Minnesota clinics are required to submit initial applications through ApplySmart. Out-of-state clinics get an alternate portal route
  • Answer this one properly: HealthPartners asks behavioral health applicants to name the age groups, services and verifiable areas of expertise they offer. Because it’s also a care system, network need is real, and that answer is your argument

Medica

The biggest mover in the state right now
  • Usually: credentialed initially and then every three years, on the Minnesota pattern. Medica requires an executed contract before you’re in network and does not accept claims for dates of service before credentialing is complete. Confirm turnaround at submission
  • Path: ApplySmart with the Minnesota Uniform Credentialing Application, initial version for new practitioners and the reappointment version for recredentialing
  • What changed: Medica added PMAP in nine counties on January 1, 2025, then completed the acquisition of UCare’s Medicaid and individual business on January 1, 2026
  • Watch: confirm which entity your agreement actually runs through before your next renewal

UCare and UCare Community Health Plan

Read this one carefully, because it moved twice
  • Usually: a standard 45-day turnaround from a complete application, which lines up with the statute. Incomplete applications are returned and have to be resubmitted. Recredentialing every 36 months, and missing that window results in administrative termination
  • Path: ApplySmart at the Minnesota Credentialing Collaborative. Recredentialing has to go through it
  • The money point: UCare does not backdate effective dates. An application that sits is money you don’t get back
  • What changed: service area cut in 11 counties on September 1, 2025, exits from Medicare Advantage, Medigap, MSHO and the integrated D-SNP on January 1, 2026, and Medica administering from the same date. Coverage stays UCare-branded for 2026. Treat any UCare instruction older than late 2025 as suspect

UnitedHealthcare and Optum

The exception to Minnesota’s ApplySmart pattern
  • Usually: 60 to 120 days from a complete application
  • Path: behavioral health starts in Provider Express. You attest that you meet the criteria, then CAQH registration is required before the online application opens. This is the carrier where your CAQH file does the work
  • Why it’s near the front: Optum’s Minnesota page lists the network as open for recruitment and names MDs, DOs, PAs and RNs with prescriptive authority as actively sought in all Minnesota counties, plus telemental health, medication-assisted treatment prescribers, and clinicians certified in CTSS or ARMHS. Master’s and doctoral level therapists are sought in a much shorter county list
  • Watch: UnitedHealthcare left Minnesota’s Medicaid managed care programs on January 1, 2025, so its commercial and Medicaid stories here point in opposite directions

Separate door: Optum Behavioral Health

PreferredOne

The Minnesota name people forget until a claim shows up
  • Usually: NCQA-accredited credentialing program with recredentialing every three years and notice roughly four to six weeks before your due date. Confirm the initial turnaround at submission
  • Path: the Minnesota Uniform Credentialing Application through the collaborative at mncred.org. Same ApplySmart route as the big local plans
  • Why it’s worth a file: it’s a benefits administrator and network rather than a household-name insurer, and self-funded Minnesota and Upper Midwest employers lease its networks. A card you don’t recognise may reach you through PreferredOne. It also provides network and behavioral health management services for Aspirus Health Plan
  • Watch: it stopped administering the Minnesota state employee plan on January 1, 2024, so its book looks different than it did a few years ago

Sanford Health Plan of Minnesota

Off the ApplySmart path entirely
  • Usually: Sanford runs its own forms rather than the collaborative route, so timing depends on its intake queue. Confirm at submission
  • Path: the Sanford Provider Hub, not CAQH and not the collaborative. A Contract Request Form first, then a contracts specialist reviews it and may extend an offer, then the Provider Enrollment Application plus an Individual Provider Credentialing Request Form for practitioners billing professional claims
  • Who needs it: western Minnesota. Its service counties include Becker, Beltrami, Clay, Hubbard, Otter Tail, Pennington, Polk, Nobles, Rock and Wilkin among others, and the network extends into Iowa, North Dakota and South Dakota. Skippable for a Twin Cities practice. Not skippable in Moorhead, Bemidji or Worthington

Aetna

Behavioral health in house, separate form
  • Usually: a request for participation first, then a network-need answer on eligibility within 45 days, then credentialing from CAQH, then contracting. Commonly 60 to 120 days end to end, with recredentialing generally every 36 months
  • Path: behavioral health professionals use Aetna’s separate behavioral health request for participation, not the medical one, even when joining a medical group
  • Minnesota footnote: the old Allina Health and Aetna Health HMO joint venture is listed by the state as having no enrollment. Don’t confuse that entity with Aetna’s commercial network

Cigna Healthcare and Evernorth

Paused right now, nationally
  • Right now: Evernorth paused new individual and clinic behavioral health applications on June 1, 2026 and has signalled reopening after September 1. Facilities are exempt and anything started before June 1 keeps processing. National decision, not a Minnesota one
  • Usually: up to about 90 days to join the behavioral network once it’s open, with CAQH re-attestation every 120 days
  • What we do: we queue it and tell you the wait rather than putting a paused panel in your opening set

Separate door: Evernorth Behavioral Health

Two smaller carriers are worth a look depending on geography rather than statewide. Quartz serves five counties in southeast Minnesota, and Sanford covers a wide slice of the west. Neither is a statewide play, but in the right county either can be a meaningful share of a panel. And treat any guide that still lists UnitedHealthcare as a Minnesota Medicaid plan as out of date, because it left all managed care programs on January 1, 2025. Government payers, meaning Medicare and the Medical Assistance and MinnesotaCare plans, are scoped and priced separately from a commercial package.

Carry a plan we didn’t list? Add it.

Minnesota has a few routes that don’t look like payers. The Minnesota Advantage Health Plan, the state employee plan under SEGIP, is self-insured and reached through the administrators the state picks. That work moved to Blue Cross and HealthPartners on January 1, 2024, replacing PreferredOne, so if state employees are part of your mix that’s an argument for holding both. PreferredOne networks are leased by self-funded employers and TPAs, so a member card with an employer name on it can still route through PreferredOne. Minnesota Taft-Hartley funds are usually reached by joining a rented network rather than the fund itself, often PreferredOne or a national carrier’s network. You name the plan. We find the real route.

What we need from you

Send these once and we can start.

You give us this in one intake. Then we fill out the applications. No passwords, no patient information, and nothing gets submitted until you’ve read it and signed.

  • Your individual NPIPlus a Type 2 if you bill under a group or entity. You need the NPI from NPPES before MHCP will take your enrollment at all.
  • Active Minnesota licence and DEAPlus your DEA certificate where applicable. Optum requires an unrestricted, valid licence from its published accepted list.
  • MPSE access we can work inDelegated access so we can complete your MHCP enrollment, with no password sharing. This one sits on the commercial path too, because Blue Cross won’t review a contract request until your enrollment or welcome letter exists.
  • An ApplySmart account at the collaborativeSo we can prepare your Minnesota Uniform Credentialing Application. Current version only, since the 2025 reissue made the older ones unusable. You review and sign.
  • CAQH attested and authorizedYou still need it here, just not for everything. Optum requires CAQH registration before you can start in Provider Express, and Aetna and Evernorth credential from it. You attest. We keep it current and never ask for your password.
  • Your Medicare status, or the denial letterMost Minnesota mental health professionals are expected to be Medicare-enrolled. If Medicare denied you, MHCP wants the denial letter plus DHS-3864, resubmitted every 18 months.
  • The Minnesota counties you’ll actually serveThe Medicaid plan map is county by county and it changed in 2025 and again in 2026. This drives which plans we go after and in what order, including whether a county-based purchaser is your local Medicaid payer.
  • Five years of work historyMonth and year, with any gap over six months explained. The Minnesota Uniform Credentialing Application asks for it and an unexplained gap stalls the file before the 45-day clock ever starts.
  • Malpractice certificateYour current certificate naming you, or a carrier-produced roster face sheet.
  • Entity name, EIN and W-9One per tax ID you bill under.

Depending on the services you plan to bill, Minnesota may expect the practice itself to hold its own state certification, separate from your personal licence. This state has more of that than most. The terms to know are mental health clinic certification under Minnesota Statutes chapter 245I, and program-level certifications such as ARMHS and CTSS, which certify the agency and recertify it every three years. Substance use disorder treatment programs sit under their own separate regime. A solo prescriber doing outpatient medication management often isn’t in any of that, but a practice planning program services usually is, and Optum’s Minnesota recruiting page even lists ARMHS and CTSS certification as something it looks for. We confirm whether it applies to you before it can hold up a payer contract. We don’t give legal advice and we don’t file it for you.

How it works

You answer once. We do the paperwork.

You can buy online without a meeting. Published price, published scope, no call needed unless you want one.

Buy the package

Published price and scope. No call needed.

One intake

Short and guided. It asks more only where your answers call for it.

We prepare everything

The MPSE enrollment, your Minnesota Uniform Credentialing Application, the plan contracts for your counties and your CAQH-based files, built from what you told us.

You review and sign

Read it, change anything, sign. Nothing goes out until you say so.

We submit and track

Every purchase includes Command Suite, so you can see where each payer application stands, what we’re working on, what’s waiting on a payer, and what we still need from you.

What we stand behind

Payer decisions, timing and rates are not ours to promise, and we don’t promise them. Our own work is a different matter. If something we delivered does not work the way we said it would, we fix it at no charge for 30 days after delivery, including one stabilization review. A new request, another payer or provider, a change of scope, or a new build is quoted separately. You won’t get an invoice for correcting our mistake.

Built to keep working after we’re done

Everything we set up is built for the practice you are growing into, not only the one you have today. Adding a provider or a second location should be a configuration change rather than a rebuild. When the engagement ends you own the accounts, the documentation and the systems, and they keep running without us. No lock-in.

Questions we get

Minnesota credentialing questions

Do Minnesota health plans use CAQH?
The big local ones don’t. Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, UCare and PreferredOne all run on the Minnesota Credentialing Collaborative’s ApplySmart system using the Minnesota Uniform Credentialing Application. Optum and Aetna still credential from CAQH, and Sanford Health Plan uses its own forms and its own portal. So you end up maintaining two credentialing files rather than one. Keeping CAQH current and letting the ApplySmart file go stale is the most common Minnesota mistake, and it’s invisible until an application gets returned.
Do I have to enroll with Minnesota Medicaid if I only want commercial patients?
In practice, yes. Blue Cross and Blue Shield of Minnesota won’t even consider a contract request until you’ve enrolled with Minnesota Health Care Programs and received your enrollment or welcome letter. That puts the state’s largest commercial contract behind a Medicaid step, whether or not you ever want a Medicaid patient. There’s a second reason anyway: MHCP enrollment is required before you order, refer, prescribe or bill for a Medicaid member, and a prescription written by a prescriber who isn’t enrolled isn’t covered under fee-for-service MHCP. We do that step first so nothing queues behind it.
How long does credentialing take in Minnesota?
Minn. Stat. 62Q.097 gives you a real clock. A health plan company has to tell you within three business days if your application isn’t clean, and decide a clean application within 45 days. One 30-day extension is allowed, and only if the plan identifies a substantive quality or safety concern. It also has to confirm on request that your application is clean and tell you the date it’ll decide by, which is the sentence to quote when a file goes quiet. Budget 60 to 120 days per payer end to end, because contracting and loading sit outside the statutory decision. The state side is separate: DHS asks you to allow 30 days for MPSE processing and has been running past that during revalidation.
Will a Minnesota plan pay me back for the time I spent waiting?
No. Minnesota has a strong decision clock and no back-payment provision to go with it. UCare says outright that it doesn’t apply effective dates retroactively, and Medica says it doesn’t accept claims for dates of service before credentialing is complete. That combination is worth understanding before you set a start date, because here a late application is money you don’t get back rather than money that arrives later. The practical answer is to file early and file complete, since the 45-day clock only runs on a clean file. We work backwards from the date you want to see patients.
Which Medicaid plans exist in the county where I practice?
Check it rather than trusting an older guide, because the map moved twice in two years. UnitedHealthcare left all Minnesota managed care programs on January 1, 2025. HealthPartners closed to new PMAP, MinnesotaCare and SNBC enrollees on December 1, 2024. UCare cut its service area in 11 counties on September 1, 2025. Medica added nine counties on January 1, 2025 and then completed its acquisition of UCare’s Medicaid and individual business on January 1, 2026. Outside the metro the county-based purchasers matter more than people expect: PrimeWest Health, South Country Health Alliance and Itasca Medical Care are county-owned plans holding their own contracts, and in their counties they are the local Medicaid payer.
Where does a UnitedHealthcare behavioral health application go in Minnesota?
Through Optum, in Provider Express, and it’s the one place in Minnesota where CAQH is the requirement rather than the Minnesota Uniform Credentialing Application. Provider Express asks you to attest that you meet the criteria and then requires CAQH registration before you can start. Optum’s Minnesota page lists the network as open for recruitment and says it’s actively seeking MDs, DOs, PAs and RNs with prescriptive authority in all Minnesota counties, along with telemental health providers and clinicians certified in CTSS or ARMHS. Master’s and doctoral level therapists are sought in a much shorter county list, so a prescriber walks through a wider door here.
What happened with UCare and Medica?
Medica completed the acquisition of certain UCare contracts and assets on January 1, 2026, taking on UCare’s Medicaid and individual and family business. Those members stay UCare-branded through 2026 under UCare Community Health Plan while Medica administers them. UCare told providers that existing contracts and processes continue and that the changes affect members rather than your ability to serve active UCare members, so don’t tear anything up. Do confirm which entity your agreement actually runs through before your next renewal. Separately, UCare exited Medicare Advantage, Medigap, MSHO and its integrated D-SNP on the same date, so an older UCare instruction may be describing a product that no longer exists.
Do you need my CAQH password?
No, and we won’t ask. We’re added as an authorized practice manager, which lets us keep your practice data current and authorize payers. You complete and attest your own profile, and you sign anything that needs your signature. The same boundary applies on the Minnesota side: we prepare your Minnesota Uniform Credentialing Application in ApplySmart, and you review and sign it. Use the current version of the form, because Minnesota reissued the applications effective January 1, 2025 and the plans stopped accepting the prior ones.

Keep reading

Related

Minnesota PMHNP scope of practiceWhat Minnesota allows you to do, separate from who pays you.
Wisconsin credentialingForwardHealth is the enrollment front door, and CAQH is back in charge.
North Dakota credentialingOut-of-state enrollment rules are a real constraint on a telehealth build.
Michigan credentialingCHAMPS enrollment gates the pharmacy claim, even if you never bill Medicaid.
Opening your own practiceEntity, identifiers, payers, EHR and billing setup.
Adding a provider to your clinicFirst-time credentialing into contracts you already hold.
Changing your entity or tax IDMoving panels without breaking the money.

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Where this comes from

  • Minnesota Department of Human Services, enrollment with Minnesota Health Care Programs and the MPSE portal verified July 26, 2026
  • Minnesota Department of Human Services, mental health professional enrollment criteria and forms DHS-4016, DHS-4138, DHS-8355, DHS-6287 and DHS-3864 verified July 26, 2026
  • Minnesota Department of Human Services, Minnesota Revalidate 2026 and the resulting enrollment backlog verified July 26, 2026
  • Minnesota Office of the Revisor of Statutes, Minn. Stat. 62Q.097, timely credentialing and the 2024 limits on health-condition questions verified July 26, 2026
  • Minnesota Credentialing Collaborative, ApplySmart and the Minnesota Uniform Credentialing Application verified July 26, 2026
  • Hennepin Health, updated Minnesota Uniform Credentialing Applications effective January 1, 2025 verified July 26, 2026
  • Blue Cross and Blue Shield of Minnesota, Join Our Network: the MHCP prerequisite, managed specialties and the contracting area verified July 26, 2026
  • UCare, credentialing and recredentialing: the 45-day turnaround and no retroactive effective dates verified July 26, 2026
  • Optum Provider Express, Minnesota network need for prescribers in all counties verified July 26, 2026

Written by Ryan Berg, founder of AdvanceAPractice. 16 years in healthcare revenue cycle and credentialing.

Facts on this page were verified July 26, 2026 and are next due for review October 19, 2026.

Payer programs, plans and timelines change. Everything here carries a verification date and gets re-checked on a review cycle; this record is next due for review on October 19, 2026. Approval and effective dates are controlled by each payer and by the state, and nothing here promises an approval, a timeline or a rate. This page covers payer operations. It isn’t legal, tax or scope of practice advice.