Board meetings, strategic plans, and buyer signals from Michelle Heaton’s organization
Jun 16, 2026·BoardMeeting
Board
Behavioral Health Advisory Committee Meeting Minutes
The committee meeting addressed several key topics, including updates on new legislation and the PBM law affecting behavioral health efforts. A primary focus was the discussion on network adequacy rules for healthcare delivery systems, covering managed care provider access, time and distance standards, and the implementation of a new network adequacy tool. The meeting also included an educational overview of artificial intelligence usage by insurers, discussing its risks, benefits, and current regulations. Additionally, the committee reviewed transparency updates regarding cost trends, morbidity, and provider access in the context of mental health and substance use disorders.
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Behavioral Health Advisory Committee Meeting Minutes
The committee discussed legislative updates concerning utilization review and upcoming rulemaking for network adequacy. Issues raised by HB 1744 were reviewed, focusing on legal requirements for mental health and substance use disorder treatment coverage, prior authorization, and reimbursement rates. Additionally, the committee received an update on the NHID rulemaking process and prior authorization data.
Jan 20, 2026·BoardMeeting
Board
Behavioral Health Advisory Committee Meeting Minutes
The committee meeting covered updates on legislative session proposals and a detailed overview of carrier exam processes, including a review of credentialing investigations for Anthem and previous findings regarding claims processing. The Department provided follow-up information regarding emergency services, prior authorizations for psychiatric admissions, and updates on rules for utilization reviews. Additionally, the committee discussed the availability of behavioral health care management program materials and solicited future meeting topics, such as prior authorization, network adequacy, the use of artificial intelligence in claim adjudication, service capacity, and insurance audit regulations.
Oct 21, 2025·BoardMeeting
Board
Behavioral Health Advisory Committee Meeting Minutes
The committee discussed updates on federal and state legislation impacting medicine advantage and premium rates, and reviewed the New Hampshire Hospital's utilization review and prior authorization processes. Presentations were provided by WellSense and UnitedHealthCare regarding their mental health care management programs. Additionally, the committee reviewed the implementation of SB561, which updates prior authorization requirements for commercial plans and establishes timelines for processing requests. The session also included information regarding the upcoming Annual Hearing on Premium Rates and Medical Cost Drivers, as well as a public comment period addressing contract negotiation concerns and billing practices.
Extracted from official board minutes, strategic plans, and video transcripts.
