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Protecting Behavioral Health Revenue Under H.R.1

For years, behavioral health billing teams have relied on a back-end safety net: a 90-day window to catch lapsed Medicaid coverage and recover rightful revenue.

Under H.R.1, that cushion is disappearing. Retroactive coverage windows are shrinking to 30 days, which means any care delivered after that point is a write-off. For community-based care providers operating on thin margins, those lost funds could be the difference between profitability and insolvency.

That’s why we created Protecting Behavioral Health Revenue Under H.R.1—a data-backed report that breaks down what’s changing under H.R.1, and why moving eligibility verification upstream is essential for protecting your organization’s bottom line.

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What's Inside

This white paper breaks down the critical H.R.1 policy changes impacting Medicaid reimbursement, including shorter retroactive coverage windows, twice-a-year redeterminations and monthly work requirement reporting. Download it now to:

Learn about the H.R.1 policy changes that shorten claim adjudication windows and turn coverage lapses into potential revenue write-offs.

Uncover the hidden self-pay trap that can cost hundreds of thousands in lost revenue annually for mid-sized behavioral health organizations.

Get a 5-question checklist to analyze your organization’s current RCM workflow and diagnose your exposure to HR1-related revenue leaks.

Start Your Behavioral Health AI Journey with Confidence

Speaking of evidence — Eleos' AI was built by behavioral health professionals, for behavioral health professionals, with the nuanced clinical and ethical considerations of this work in mind. Here are some of our client proof points:

80%+ less time spent on documentation.

Up to 8x ROI within 12 months

90% of providers report lower stress after adoption

Get peace of mind with the most widely deployed AI platform in behavioral health.