Optum Network Manual
Clinical Criteria
Best Practice Guidelines
Coordination of Care (COC)
Health Care Provider Summary Disclosure Form
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.
Special Note for Ohio Providers who provide Intensive Outpatient (IOP) and/or Partial Hospitalization (PHP). If you are a Provider Type 84/95 designed by the State of Ohio, and you provide PHP and IOP you will need to do the following to ensure you are contracted appropriately for Optum. (If you don’t know if you are a Provider Type 84/95 please click here to verify with the state’s list.
If you provide IOP and/or PHP to Medicaid only members, you will need to complete the Agency Application here.
If you provide IOP and/or PHP to Commercial and/or Medicare members, you will need to complete the Facility Application here.
If you provide IOP and/or PHP to Medicaid, Commercial and/or Medicare members you will need to complete BOTH an Agency Application and a Facility Application. You will need 2 separate contracts with Optum.
