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New York Authorization Forms

Plans administered by Optum behavioral do not require prior authorization for routine outpatient services. Optum administers a wide range of benefits. Select your state to locate the appropriate authorization forms.

ABA Assessment & Treatment Plan Forms

  • ABA Assessment Requests - electronic submission (commercial ABA providers only)
  • ABA Phone Review Process - ABA Treatment Approvals via phone

Psychological Testing Request Forms

Transcranial Magnetic Stimulation (TMS) & Electroconvulsive Therapy (ECT) Forms