Behavioral Health Practice Startup Checklist — Complete 2026 Guide

BH Practice Startup Checklist — Complete 2026 Guide

Phase 1: Legal + Business Setup (Weeks 1-4)

  1. Business entity formation (LLC or PC recommended for solo, PLLC for multi-provider)
  2. EIN from IRS
  3. State business license + registration
  4. Professional license verification (clinician + business)
  5. Malpractice insurance ($1M/$3M standard)
  6. General liability insurance
  7. NPI (National Provider Identifier) — Type 1 individual + Type 2 organization

Phase 2: Credentialing (Weeks 4-24)

  1. CAQH ProView profile complete
  2. Panel applications submitted (10-15 top panels)
  3. State Medicaid enrollment
  4. Medicare enrollment (if serving 65+)
  5. Insurance panel contracts negotiated + signed

Phase 3: Technology (Weeks 4-8)

  1. EHR selection (TherapyNotes, SimplePractice, CentralReach, AdvancedMD)
  2. Practice management software
  3. Billing service selected (in-house vs outsource)
  4. Payment processor (Stripe, Square)
  5. Telehealth platform (compliant, HIPAA-BAA)
  6. Phone system (HIPAA-compliant like RingCentral, OpenPhone)
  7. Fax service (SRFax, Doximity)

Phase 4: Compliance (Weeks 4-8)

  1. HIPAA policies + procedures document
  2. BAAs with all vendors (EHR, phone, fax, billing)
  3. Consent forms (initial, telehealth, minor treatment)
  4. ROI (Release of Information) forms
  5. Privacy policy + Notice of Privacy Practices
  6. Security risk assessment

Phase 5: Marketing (Weeks 8-12)

  1. Website launch
  2. Google Business Profile
  3. Psychology Today profile
  4. TherapyDen profile
  5. Insurance panel directory listings
  6. Referral relationships with PCPs
  7. Social media presence (LinkedIn + IG)

Phase 6: Operations (Weeks 8-12)

  1. Office space or telehealth-only decision
  2. Furniture + supplies (if physical space)
  3. Front desk / admin coverage
  4. Billing service onboarding
  5. Financial systems (accounting, tax)

Phase 7: First Patients (Weeks 12+)

  1. Insurance verification workflow
  2. Intake process + forms
  3. Session documentation templates
  4. Progress note review process
  5. Denial recovery process

Revenant Care can handle Phases 2 + 3 (billing) + 5 (SEO) · Pricing

– KD, Revenant Care