Need help with the Provider Express secure portal?
The Technical Support team is available by chat or by calling
1-866-209-9320.
NC Medicaid Research-Based Intensive Behavioral Health Treatment Program (RBI-BHT)
A streamlined way for all ABA providers to manage services
Both network and out-of-network providers manage ABA services in the Provider Express secure portal. A One Healthcare ID (OHID) is required to access the portal.
The self-paced guide provides step-by-step instructions for how to register for a One Healthcare ID and access the portal for the first time.
Use the Provider Express secure portal to:
- Verify ABA Coverage and eligibility
- Request ABA assessment and treatment authorizations
- Submit additional information to the clinical team upon request
- View real-time status updates on your requests
Prior Authorization requests
Prepare your prior authorization request
Refer to our submission checklist QRG to ensure you have all the required information. A complete submission helps prevent processing delays.
- Review the ABA clinical review requirements
- Provider data: Name, address, NPI and TIN
- Member data: Name, address and Member ID*
Use these self-paced guides to learn how to:
Verify ABA eligibility and benefits
Submit an ABA prior authorization request
Get the status of submitted ABA authorization requests
Submit an authorization request in 5 steps
1. Select 'Auths' from the upper right menu
2. Click the 'Auth request' tab
3. Choose 'Request a new authorization'
4. Select ABA Assessment or Treatment from the drop down
5. Complete the required fields and submit
UnitedHealthcare, doing business as UnitedHealthcare Community Plan of North Carolina, is one of the selected managed care plans within the state of North Carolina providing coverage to the NC Medicaid membership. Optum has been selected by UnitedHealthcare Community Plan to manage the RBI-BHT network for NC Medicaid members effective 07/1/2021. Your participation in our network helps to ensure access to comprehensive quality care for covered behavioral health services for enrolled members.
To assist you in your participation in this program, learn more about the process for applying to the network, and the clinical protocols required in this unique network, please review the resource materials below.
Participation in this program requires enrollment with the state of North Carolina as first step, please visit the state’s website at https://www.ncdhhs.gov for enrollment information.
- NC Medicaid Research-Based Intensive Behavioral Health Treatment (RBI-BHT) Provider Orientation
- NC Medicaid Research-Based Intensive Behavioral Health Treatment (RBI-BHT) Provider Quick Reference Guide
Clinical Criteria
Contact Us/Request to Join the Network
Call Provider Relations at 1-877-614-0484.
