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What are the preauthorization/concurrent care requirements for mental health and substance abuse treatment?

April 26, 2017concurrent mental health preauthorization requirements substance abuse treatment

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What are the preauthorization/concurrent care requirements for mental health and substance abuse treatment?

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Mental health and substance treatment requires preauthorization and concurrent care review. Preauthorization and concurrent care review must be obtained by calling our underwriter, Mutual of Omaha at 1 800 593-2354. If preauthorization or concurrent care review is not obtained, benefits will be reduced. Preauthorization/concurrent review is not required for services rendered outside of the United States. However, the Plan will review all services to establish medical necessity. We may request medical records in order to determine medical necessity. Review the current FSBP Brochure (Sections 3 and 5(e) for further information.