MHNet Changes Prior Authorizations

MHNet Behavioral Health, which as of January no longer required prior approval on what it calls “routine” outpatient behavioral care for commercial and Medicare patients, has recently changed its UM process. Healthcare USA now manages all prior approvals for “all levels” of care. Teams will be used for different PAs, such as intensive outpatient services and partial hospitalizations, so that behavioral providers can have a consistent contact for these requests. Previously, PA requests were submitted through the MHNet provider portal.


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