Optum Standard Authorization Forms

Plans administered by Optum behavioral do not require prior authorization for routine outpatient services. Optum administers a wide range of benefits.

ABA Assessment & Treatment Plan Forms

ABA Assessment Requests - electronic submission (commercial ABA providers only)
ABA Treatment Plan - electronic submissions

Psychological Testing Request Forms

Optum Psych Testing Request Form - electronic submission

Transcranial Magnetic Stimulation (TMS)

TMS Prior Authorization Request Process Training

For more information regarding United Healthcare Community and State Rhode Island Medicaid and Optum Behavioral Health Prior Authorization and Notifications, please click here.