When practices hear about payer enrollment pauses, confusion often follows regarding what may — or may not — be impacted operationally. While every payer structure and contract arrangement is different, there are important distinctions between: new enrollment activity, credentialing maintenance, and existing participation agreements. Existing Participation Does Not Automatically End In many cases, a temporary network intake pause does not automatically: terminate active provi

A payer enrollment pause can feel frustrating — especially for growing ABA organizations onboarding new clinicians or expanding services. While practices may not control payer network decisions, there are still important operational steps organizations can take to stay prepared and reduce future delays. 1. Audit Existing Credentialing Files Review provider records for: missing documentation, expired licenses, outdated malpractice coverage, incomplete CAQH profiles, or incorre

Evernorth Behavioral Health (formerly associated with Cigna behavioral health services) has announced a temporary pause impacting certain behavioral health network participation activity beginning June 1, 2026. For ABA organizations and behavioral health providers currently planning expansion efforts, this development may impact provider enrollment timelines, network participation planning, and onboarding strategies throughout the pause period. What We Currently Know Based on

By BYOND Credentialing Solutions™ Florida Medicaid providers are preparing for a major operational transition within the pediatric managed care space. Beginning October 1, 2026, Molina Healthcare is expected to assume operation of Florida’s Children’s Medical Services (CMS) Health Plan statewide, replacing Sunshine Health as the contracted managed care organization for the program based on publicly available guidance from the Florida Agency for Health Care Administration (AHC

By BYOND Credentialing Solutions™