Utah regulates health insurer provider directories and mandates timely out-of-network behavioral health access

Beginning January 1, 2027, health insurers must publish searchable, easily accessible provider directories updated every 60 days, assist enrollees in obtaining timely out-of-network behavioral health care when in-network providers are unavailable, and enter into single case agreements with out-of-network providers. Insurers and providers must adhere to verification and accuracy audit requirements, and the Division of Professional Licensing must convene a working group to study a statewide behavioral health database by June 30, 2026.

Residents seeking mental health or substance use treatment gain new rights to secure in-network cost-sharing rates with out-of-network providers when timely care is unavailable, and face fewer obstacles from inaccurate online provider lists.

• ›State legislatures across the country have increasingly focused on mental health parity and network adequacy laws to address long wait times and inaccurate health insurer provider directories. context
• ›Utah's Division of Professional Licensing oversees professional licensing and regulatory boards across various healthcare professions in the state. context