New Mexico Authorization Forms
Plans administered by Optum behavioral do not require prior authorization for routine outpatient services. Optum administers a wide range of benefits.
Click here to confirm member specific eligibility and benefits: this requires log-in (located in upper right corner)
If you do not have an account, you can create one by clicking on First-Time user.
Click here to determine when a prior authorization request is required, as well as any pre-service requirements or required documentation.
Click here to review Clinical Review Criteria used to evaluate prior authorization requests.
New Mexico Uniform Prior Authorization Form
- New Mexico Uniform Prior Authorization Request Form - electronic submission
- New Mexico Uniform Prior Authorization Form – PDF version