Behavioral Health Inpatient Prior Authorization
Listing Websites about Behavioral Health Inpatient Prior Authorization
Precertification – Health Care Professionals Aetna
(9 days ago) WEBPrecertification occurs before inpatient admissions and select ambulatory procedures and services. Precertification applies to: You can submit a precertification by electronic data interchange (EDI), through our secure provider website or by phone, using the number …
https://www.aetna.com/health-care-professionals/precertification.html
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Behavioral Health Prior Authorization Requirements and Process
(6 days ago) WEBTo determine benefit coverage prior to the service and to determine if prior authorization for intensive outpatient services may be required by a specific employer group, members may call the prior authorization MH/SA number listed on their ID card or the BCBSIL Behavioral Health Call Center at 800-851-7498. This prior authorization requirement
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Horizon NJ Health QUICK REFERENCE GUIDE
(7 days ago) WEBwill be conducted via telephone by Horizon NJ Health staff for all inpatient admissions. Important note: Prior to providing care for services requiring precertification, call the BEHAVIORAL HEALTH PRIOR AUTHORIZATIONS Medicaid and DDD 1-800-682-9091, option 2 MLTSS 1-855-777-0123, option 2 FIDE-SNP 1-855-955-5590, option 2. …
https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf
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Horizon Behavioral Health
(7 days ago) WEBIf you or a loved one is dealing with daily challenges or serious conditions, Horizon Behavioral Health can help connect you with care, including: Asking for help can be …
https://www.horizonblue.com/members/health-programs/horizon-behavioral-health
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Authorization Request for Inpatient Psychiatric or Substance …
(2 days ago) WEBInpatient Behavioral Health Care Use for Commercial and SHP Members Fax: 866-987-4161 . Authorization Request for Inpatient Psychiatric or Substance Use Disorder …
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Authorizations Sentara Health Plans
(5 days ago) WEBAccessing the Prior Authorization List (PAL) for Medicaid and Medicare. The new Prior Authorization List (PAL) is available to determine authorization requirements for Medicaid and Medicare members. Request Types Behavioral Health Inpatient and Crisis Services UM Fax: Fax Number 757-963-9619 / 844-348-3719: …
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Quick Reference Guide for Horizon Behavioral HealthSM …
(1 days ago) WEBMember Eligibility, Authorizations, Care Management and Intensive Case Management Referrals 1-800-626-2212 The Horizon Behavioral HealthSM program is …
https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HBCBSNJ.pdf
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Behavioral Health Care Management Program Blue Cross and …
(7 days ago) WEBOur Behavioral Health team follows members as they step down from intensive inpatient, residential or partial hospitalization to less intensive levels of care (outpatient). Behavioral Health Medical Necessity Criteria & Prior Authorizations. The Behavioral Health team uses nationally recognized, evidence-based and/or state or federally
https://www.bcbstx.com/provider/clinical/clinical-resources/behavioral-health
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Medical Prior Authorization Mercy Care Providers
(Just Now) WEBBy fax. Visit our forms page to get the PA request form you need. Then, fax it to the plan, along with supporting materials: Mercy Care ACC-RBHA with SMI …
https://www.mercycareaz.org/providers/medical-prior-authorization.html
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Prior Authorization and Billing Resource Guide - Evernorth
(4 days ago) WEBThis Guide is designed to inform network and out-of-network providers on Evernorth’s prior authorization requirements and billing code suggestions. This Evernorth Behavioral …
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Handbook for Prior Authorization of Intensive …
(9 days ago) WEBII. Procedures to Request Prior Authorization of Behavioral Health Technician-Applied Behavior Analysis (BHT-ABA) Services A. Supporting Documentation B. Submission …
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Medicare Advantage Prior Authorization Members
(2 days ago) WEBMembers can access InterQual ® criteria used for inpatient services by logging into their Blue Cross Blue Shield of Michigan and Blue Care Network are consolidating all …
https://www.bcbsm.com/medicare/help/using-your-plan/prior-authorization/
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Prior authorization - Providence Health Plan
(1 days ago) WEBPrior authorization . A prior authorization is an approval you need to get from the health plan for some services or treatments before they occur. In-network providers will request …
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Inpatient Ambetter Prior Authorization Fax Form
(1 days ago) WEBInpatient Rehab. 427 Rehab. Transplant. 992 Transplant. Miscellaneous. 121 Long Term Acute Care 970 Medical 414 Premature/False Labor 402 Skilled Nursing Facility 411 Surgical 490 Boarder Baby 300 Neonate. Behavioral Health - please send all supporting forms and medical records as necessary based on service 528 Chemical Substance …
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Home Wellpoint New Jersey, Inc. - Amerigroup
(9 days ago) WEBAmerigroup Community Care in New Jersey is now Wellpoint. Our new name fits with our brand vision to be a source of lasting wellness for our members — your patients — at all …
https://www.provider.wellpoint.com/new-jersey-provider/home
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Mental Health & Substance Use Disorder Services - UCare
(1 days ago) WEBMental Health Outpatient Prior Authorization Form for Out-of-Network Providers Notice of Admission Form for Substance Use Disorder Inpatient or Residential. This form is intended to communicate patient referrals between medical …
https://www.ucare.org/providers/authorization/mhsud
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MO -PAF-0710 - Inpatient Medicaid Prior Authorization Form
(2 days ago) WEBINPATIENT MEDICAID PRIOR AUTHORIZATION FORM Medical Fax: 1-833-924-2511 Behavioral Health Fax: 1-866-535-6974. Standard requests - Determination within 36 hours or up to 14 days if necessary to receive all pertinent clinical information. Urgent requests - Please Call 1-855-286-1811. *Urgent requests are made when the member or …
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Carrier Clinic Hackensack Meridian Health Belle Mead, NJ
(5 days ago) WEBOcean University Medical Center Outpatient Behavioral Health Services 1610 State Route 88, 34rd floor Brick, NJ 08724 732-295-6543 Adult outpatient psychiatric evaluation and …
https://www.hackensackmeridianhealth.org/en/locations/hackensack-meridian-health-carrier-clinic
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Prior Authorization Aetna Medicaid Kentucky - Aetna Better Health
(7 days ago) WEBPrior authorization is required for select, acute outpatient services and planned hospital admissions. Or you can call us at 1-855-300-5528 (TTY: 711), 24 hours a day, 7 days a week to request PA for behavioral health inpatient services. Aetna behavioral health (BH) prior authorization request (PDF) Aetna multisystem therapy (MST) prior
https://www.aetnabetterhealth.com/kentucky/providers/prior-authorization.html
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Missouri Prior Authorization Requirements for …
(8 days ago) WEBMissouri: Optum Behavioral Health Exchange plans Advanced Notification/Prior Authorization effective January 1, 2024 Subject: This list indicates services requiring …
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Behavioral Health Prior Authorizations - AmeriHealth Caritas De
(2 days ago) WEBSubmit a prior authorization request for behavioral health services. By phone. Call Behavioral Health Utilization Management (UM) at 1-855-301-5512, from 8 a.m. to 5 …
https://www.amerihealthcaritasde.com/provider/resources/behavioral-prior-auth.aspx
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Prior authorization for care Harvard Pilgrim Health Care
(6 days ago) WEBTo obtain a prior authorization, you or your provider should call (800) 708-4414 for medical services (888) 777-4742 for mental health and substance use disorder treatment
https://www.harvardpilgrim.org/public/prior-authorization-for-care
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Carelon Behavioral Health Prior-Authorization List
(1 days ago) WEBCarelon Behavioral Health Prior-Authorization List. INPATIENT SERVICES. SERVICE NOTIFICATION REQUIRED DOCUMENTATION AND FORMS FOR PA SUBMISSION: Inpatient Services Prior Authorization Required; Inpatient Mental Health including Eating Disorder; Revenue Codes:114, 124, 134. 144, 154, 204 Texas Standard Prior …
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Forms and Resources Providers Geisinger Health Plan
(1 days ago) WEBIf you're unsure if a prior authorization is required or if the member’s plan has coverage for Autism, call the our care connector team at 888-839-7972. Available through Cohere. …
https://www.geisinger.org/health-plan/providers/forms-and-resources-for-providers
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Prior Authorizations AmeriHealth Caritas Ohio
(1 days ago) WEBPrior authorization call center: 1-833-735-7700, Monday – Friday, 8:30 a.m. to 5 p.m. ET. After hours and on weekends and holidays, call Member Services at 1-833-764-7700 to …
https://www.amerihealthcaritasoh.com/provider/resources/prior-auth.aspx
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Behavioral Health Service Request Form - Molina Healthcare
(1 days ago) WEBMHTBHSRForm.03072018. Behavioral Health Service Request Form 2018 – Revised 3/7/18. 5945090TX0317. Molina Healthcare of Texas Behavioral Health Service Request Form Phone Number: (866) 449-6849 Fax Number: (866) 617-4967. Clinical Information. Please provide the following information with the request for review:
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