Common use of Prior Auth Required Clause in Contracts

Prior Auth Required. Some mental health services require Prior Authorization. The In-network Behavioral Health Practitioners/Providers will be responsible for obtaining Prior Authorization, when required. For Out-of-network Services, Members need to contact our Behavioral Health Department to obtain Prior Authorization, when required. Please refer to the Prior Authorization to mental health services, you may call our Behavioral Health Department directly at o Partial H spitalization can be substituted for the Inpatient mental health services when our Behavioral Health Department approves the Prior Authorization request. Partial Hospitalization is a non-residential, Hospital-based day program that includes various daily and weekly therapies. o Acute medical detoxification benefits are Covered under Inpatient and Outpatient services found in the Benefits