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Important Changes to Board-Registered Associates Billing

We want to make you aware of an upcoming change related to behavioral health billing. 

Effective October 1, 2026, board-registered associates (BRAs) will no longer be eligible to treat or bill for behavioral health services provided to PacificSource Commercial and Medicare members. This change does not pertain to Medicaid.

Commercial and Medicare members currently receiving care from a BRA will need to transition to a licensed provider for services to remain billable. As a provider, you will be expected to help any PacificSource members transition to a licensed behavioral health provider. This change aligns with requirements from the Centers for Medicare & Medicaid Services (CMS) and PacificSource’s commercial benefits. 

What this means 

  • For providers: Please review your current care delivery and billing arrangements for impacted members. If associates do not meet these updated requirements, please make a transition plan now so services can continue through licensed clinicians by October 1, 2026. See FAQs 
  • For members: PacificSource Commercial and Medicare members currently receiving behavioral health services from a BRA will need to transition to a licensed provider for services to remain billable. Providers should help members understand any needed changes and support continuity of care during the transition

PacificSource Health Plans (commercial) | PacificSource Community Health Plans (Medicare)