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Check Your Patients’ Behavioral Health Preauthorization Requirements

April 30, 2019

Beginning July 15, 2019, we will be updating our internal claims review process for behavioral health services that require benefit preauthorization. Your process for requesting preauthorization are not changing. The services requiring preauthorization are also not changing.

As a reminder, the following services may require preauthorization:

  • Services provided in the following settings:
    • Inpatient acute facilities (Requires preauthorization)
    • Residential treatment facilities (Requires preauthorization)
    • Partial hospitalization
    • Intensive outpatient therapy
    • Focused outpatient management
  • Psychological or neuropsychological testing
  • Applied behavior analysis

For more information, visit bcbsok.com/provider.

You should always check eligibility and benefits for each member before treatment. This step will help you confirm applicable preauthorization requirements. You may check eligibility and benefits online for BCBSOK, out-of-area Blue Plan and Federal Employee Program® (FEP®) members via the Availity® Provider Portal or your preferred vendor portal.

Availity® is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSOK. BCBSOK makes no endorsement, representations or warranties regarding any products or services provided by third-party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.