INSURASALES

New Hampshire Law Accelerates Mental Health Provider Credentialing Timelines

New Hampshire's recently enacted House Bill 507 mandates private health insurers to process mental health provider credentialing applications within 30 days, aiming to expedite patient access to care. This represents a tightening from the previous 45-day requirement for insurers under managed care plans but questions remain regarding enforceability. Mental health providers such as Anew Behavioral Health highlight that credentialing delays currently extend to several months, causing significant disruptions to the ability of newly hired practitioners to join insurance networks and see insured patients.

These delays contribute to administrative burdens and prolong waitlists, impeding timely intervention for individuals in need of mental health services. Approximately 60 percent of patients rely on private insurance to access care, underscoring the importance of efficient credentialing workflows. Stakeholders express concern about the removal of a provision that would have retroactively reimbursed care from application submission dates, potentially weakening provider protections. The New Hampshire Insurance Department underscores the law as pro-patient and pro-provider, emphasizing the critical balance between revenue flow and access to mental health services. Despite this, some providers voice skepticism about meeting the 30-day deadline absent systemic investment in credentialing processes and workforce enhancement. The fragmented nature of insurance networks further complicates provider onboarding, with calls for national solutions to standardize credentialing and reduce administrative friction.

The law's passage occurs amidst ongoing challenges in mental health provider shortages and increased demand within the state, spotlighting the impact of regulatory and operational factors on care delivery. Anthem Blue Cross/Blue Shield and UnitedHealth, major insurers in the state, have not commented publicly on the law's implementation. The broader implications for insurer compliance, provider network adequacy, and patient outcomes remain key areas to monitor as the law takes effect in January.