Provider Manual

INPATIENT AND ALTERNATIVE LEVELS OF CARE

Preauthorization In order for claims reimbursement to occur, the following services must be preauthorized prior to the delivery of the service/treatment (except in the case of an emergency)

Mental Health Services

  • Acute Inpatient Psychiatric
  • Residential Treatment Facility (RTF)
  • Behavioral Health Rehabilitation Services (BHRS)
  • CRR
  • Family Based Mental Health Services
  • Multi-System Therapy (MST)
  • Strength-Based
  • Family Functional Therapy (FFT)
  • Family Focused Solution Based-Services (FFBSBS)
  • Acute Psychiatric Partial Hospitalization Program
  • Crisis Residential-Adults
  • Long Term Structured Residence (LTSR)
Note: Forms are available to download for the services above at: pa.carelon.com/providers/provider-forms