Prior Authorization and Notification

Submitting behavioral health prior authorizations

If you determine that behavioral health prior authorization is required for your patient, you can submit a prior authorization request in one of the following ways:

• Email all clinical and request to rmhpbhvm@uhc.com
• Fax all clinical and request to 888-240-2689
• Call 888-478-4760 and ask to speak with the RMHP Behavioral Health Utilization Management Department
  

Current Prior Authorization Requirements

• Behavioral Health Prior Authorization Requirements for Rocky Mountain Health Plans RAE/PRIME Effective Jan. 1 2024 - Updated 11.20.2024open_in_new
• Behavioral Health Prior Authorization Requirements for Rocky Mountain Health Plans Child Health Plan Plus (CHP+) - Effective Dec. 1, 2024open_in_new
• Behavioral Health Prior Authorization Requirements for Rocky Mountain Health Plans Dual-Special Needs Plan - Effective Nov. 21, 2024open_in_new 
• Colorado UnitedHealthcare Rocky Mountain Medicare Advantage Dual-Special Needs Plans Prior Authorization - Effective March 1, 2024open_in_new
• Colorado Optum Behavioral Health Exchange plans Advanced Notification/Prior Authorization effective January 1, 2024open_in_new
• Behavioral health prior authorization requirement for RMHP Individual Exchange plans -  Effective Jan. 1, 2024open_in_new
• UnitedHealthcare Individual Exchange plan information

Learn more

Requirements of billing procedure codes for behavioral health services covered by Medicaid can be found using the State Behavioral Health Services Billing Manual.open_in_new

Questions

If you have questions, contact the Provider or Member Services department or your UnitedHealthcare Provider Relations representative.

• Colorado DSNP – Provider and Members: 800-701-9054
• Colorado Medicaid – Provider and Member: 800-421-6204
• Colorado CHP+ – Provider and Member: 877-668-5947
• Colorado IFP/Exchange – Provider: 888-478-4760, Member: 888-809-6539