Tuesday, 26 June 2012

How do we obtain Medication Authorization from MBHP (Mass Behavioral Health Partnership)?

MBHP must approve certain healthcare and pharmacy services before the provider render the service. This is called prior authorization (PA).

For the Behavioral Health Provider can get the authorization thru IVR calling by follow the below steps.

  1. Call the No# 888-899-6277
  2. IVR says, Enter the touch tone 1 for Provider 10 digit NPI # or  2 for Provider 7 digit Medicaid ID#.
  3. Then select 1 Outpatient therapy visit.
  4. Enter the touchtone 3 for Medication visits
  5. Select the touchtone 1 for 10 digit MBHP ID # or  2 for 9 Medicaid ID#. After enter the ID.
  6. Enter the Date of service in the format (MM/DD/YYYY) (Date must 20 days after and 14 days before the DOS)
  7. Enter the No of Visits
  8. Enter the Primary Dx and Secondary Dx code
  9. You will get the 13 Authorization #.
  10. Now, you can submit the claim to MBHP.


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