Provider Toolkit

Requesting Authorization

Authorization should be obtained prior to services being rendered and for continued services.

 

 

The Freedom of Choice form is to be used for all youth members prior to service authorization. 

The Freedom of Choice form is also available in Spanish and Vietnamese

The Certification of Need for Psychiatric Hospitalization

Psychological testing request forms must accompany the plan of care if this service is needed.

  • A Psychological testing form can be obtained by clicking here.

**All authorization requests for outpatient services must be included in the member's plan of care.** 

Additionally, crisis services can be requested by telephone at 1-800-424-4489 when the crisis occurs.

 

 

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