Guide: Six regulatory shifts in behavioral health RCM

Payer and regulatory scrutiny of behavioral health claims intensified throughout 2026, as payers and regulators adopted AI to review claims and documentation at scale. The result for revenue cycle teams: compressed margins and new documentation obligations across prior authorization, telehealth billing, and parity compliance.

Download this guide to the six regulatory shifts behavioral health clinical and revenue leaders need to address before 2027 deadlines arrive, including:

• CMS-0057-F prior authorization timelines and documentation standards
• Heightened oversight of Medicare Advantage behavioral health prior authorization
• OIG audit priorities for telehealth billing
• Medicare Advantage electronic prior authorization requirements
• New state AI regulations in Colorado, Oregon, and Iowa
• Mental health parity enforcement