HB 1085 (now PA 104-0446) sets a commercial behavioral health rate floor at 141.7% of Medicare for plans renewing on or after January 1, 2027. Whether it changes what your organization collects depends entirely on where your current contracts sit against that floor — and that calculation requires your payer mix, your current rates, and your provider roster, not an industry estimate.

For commercial-heavy practices, the window to negotiate from a position of data is closing. Commercial contracts for 2027 are being signed now. For Medicaid-heavy practices, three other provisions in the same law — trainee billing, same-day multi-provider services, and a 60-day credentialing clock with retroactive pay — open revenue that requires parallel operational work to capture.

In this 60-minute session, Jay Reeser (VP Payer Analytics, Neolytix — former VP Cigna, Director UHC) and Brian Morefield (Director of Business Development, Neolytix) walk through the rate-position diagnostic, the credentialing and enrollment workstreams, and what organizations in each funding situation should be doing before the January renewal cycle closes.