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Behavioral Health

Medicare

Medicaid

For behavioral health services only: Discharge information is required within 24 hours of discharge from IP or RTC levels of care. Please fax discharge clinicals to: 833-505-1300.

Note: Effective July 1, 2021, Prior Authorization requirements for some Behavioral Health (BH) codes have changed.

Codes described below will no longer require Prior Authorization for services when provided by a Participating Provider.  Non-Participating Providers still require a Prior Authorization for all services.

Prior Authorization requirements for all codes can be verified on our Pre-Auth Check Tool - Just visit https://www.trilliumohp.com/providers/preauth-check.html.

Behavioral Health Codes

Code Procedure PA Requirement / Units allowed prior to PA
90832, 90833, 90834, 90836 90837, 90838, 90846, 90847, 90849, 90853, H0004, H0005, H0006, H0036, T1006 Behavioral Health Outpatient Therapy  No Prior Authorization is required for Participating Providers.  Non-participating providers always require prior authorization.