Bill > HB4095

This bill requires health insurance providers to streamline and expedite the credentialing process for mental health and substance use disorder providers. Specifically, insurers must assess and verify a provider's qualifications within 60 calendar days of receiving a complete application, providing a written decision approving or denying the application. If the application is incomplete, the insurer must notify the applicant within 10 business days, detailing exactly what additional information is needed. If the insurer fails to make a decision within the specified timeframe, they must reimburse the provider for services at their standard in-network rate, provided the provider has a valid license, professional liability insurance, and has submitted a complete application. The bill covers a wide range of mental health professionals, including psychiatrists, psychologists, social workers, marriage and family therapists, counselors, and behavior analysts. Insurers are also required to add approved providers to their provider directory and payment systems. The bill aims to reduce barriers to mental health care by ensuring a timely and transparent credentialing process, which can help improve access to mental health services for patients.

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https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-4095