Transcription of Services that require precertification* or authorization ...
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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.
**Precertification requirements apply unless state law expressly dictates otherwise. As of January 1, 2019, the following services no longer require precertification or authorization: intensive outpatient, outpatient detoxification (ambulatory withdrawal management) and psychological or neuropsychological testing.
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