ABA Prior Authorization Requirements – Subsequent PA – United Healthcare

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This insurance company requires prior authorization for ABA therapy. Here are the details to help your clinic complete the prior authorization process to request a Subsequent Prior Auth.

Subsequent Prior Authorization Requirements

To request another 6 month prior authorization for an existing United Healthcare patient:
You need to call the Optum Prior Auth department to go over all the care that you are requesting for this patient for the next 6 months of care. You will speak with a care advocate and request all the needed units for all needed codes. When you are on the phone with the care advocate, they will let you know how much care they approve for this child. The phone # to call for this is: 866-830-0325 Opt. 2, Opt. 6 = Direct Line to Pre-auth department.

When you receive prior authorization approval from Optum for patient’s ABA therapy, please upload the prior authorization approval letters to us in Teamwork.
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