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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

Psychological Testing Request Forms

Transcranial Magnetic Stimulation (TMS) & Electroconvulsive Therapy (ECT) Forms

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