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January/February 2025 Top of Mind

How you submit prior authorizations is changing 

For behavioral health services, use ProviderExpress.com instead of the UnitedHealthcare Provider Portal.

Beginning Jan. 1, 2025, you’ll need to make a change in how you submit prior authorization requests for members in Virginia covered by Commercial and Medicare health plans. Instead of using the Prior Authorization and Notification (PAAN) tool on the UnitedHealthcare Provider Portal, you’ll need to switch to ProviderExpress.com.

The Behavioral Health UM Authorization Request Form will now be the standard Virginia online prior authorization form when requesting authorization for behavioral services for Commercial and Medicare. The Virginia Mental Health Services (MHS) Request Form remains the behavioral health authorization form for Medicaid.

How to complete the standardized prior authorization form:

  1. Access the Behavioral Health UM Authorization Request (Prior Authorization Form) on the Virginia Authorization Forms page on Provider Express.
  2. Complete the form – be sure to fill in all fields marked mandatory  
  3. Submit the form – you should see a confirmation page after the successful completion 

Need help? 

Simply call the number on the back of the member’s ID card.


 

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