Need help with the Provider Express secure portal?
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1-866-209-9320.
New Mexico Turquoise Care Applied Behavior Analysis
United Behavioral Health doing business as Optum, in partnership with its affiliate, UnitedHealthcare® Community Plan (UHCCP), is the selected managed care administrator for New Mexico Turquoise Care membership.
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
Clinical Criteria
Forms
New Mexico Uniform Prior Authorization Form – PDF version
Resources
NM Turquoise Care ABA Network Quick Reference Guide
NM Turquoise Care ABA Provider Orientation TrainingContact Us/Request to Join the Network
Please reach out to Victoria Martinez, Specialty Network Manager, at victoria.martinez1@optum.com to learn more about this network
