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Services that require precertification* or authorization ...

Services that require precertification* or authorization The behavioral health precertification list These behavioral health Services require precertification or authorization ** This requirement applies only to Services covered under the member s benefits plan, including: Applied behavioral analysis (ABA) Inpatient admissions Partial hospitalization programs (PHPs) Residential treatment center (RTC) admissions Transcranial magnetic stimulation (TMS) How to request precertification or authorization Behavioral health Services , which include treatment for substance use disorders, require either precertification or authorization , as outlined above.

services no longer require precertification or authorization: intensive outpatient, outpatient detoxification (ambulatory withdrawal management) and psychological or neuropsychological testing. ***Not all plans are offered in all service areas.

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