Massachusetts Provider Resources
Optum Network Manual
- Network Manual
- AllWays Health Partners Provider Manual Addendum (Rev. 06/2022)
Clinical Criteria
Best Practice Guidelines
Coordination of Care (COC)
Mandates
Child Adolescent Needs and Strengths (CANS) Assessment Medicaid Requirement
Supplemental Clinical Criteria: Massachusetts Commercial (BHCA)
Clinical Area of Expertise Update: PANDAS-PANS
Prior Authorization Forms
- Level of Care Request
- Fax: 844-330-4967 or Email: UTP-PHL@optum.com
- Repetitive Transcranial Magnetic Stimulation (TMS) Request
- Fax: 844-330-4967 or Email: UTP-PHL@optum.com
- Psychological and Neuropsychological Assessment Supplemental Form
- Fax: 888-216-4795
Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages.