Join a virtual office hours session to learn about designated topics, get answers to general questions and tips for doing business with Optum.
Overpayment Recoupments on your PRA
Best Practices Guidelines
Coordination of Care Flyer
Coordination of Care Checklist
Network Manual
Outpatient Telehealth Billing Quick Reference Guide
Standard Clinical Criteria
Suspension of Utilization Review
Welcome Massachusetts: Quick Reference Guide
Optum will manage behavioral health services for members in two dual-eligible special needs plans (D-SNP) beginning Jan.1, 2026
Both Mass General Brigham and Optum Behavioral Health have training sessions to help you prepare to work with the D-SNP plan members.
Schedule an online HIPAA-compliant appointment with a member of our Outpatient Care Engagement team.
Massachusetts Authorization/Notification, Assessment and Treatment Forms
Applied Behavior Analysis Services Prior Authorization Request Standard Form
Massachusetts One Care BH Day Treatment Authorization Form
For more information and forms visit Guidelines/Policies & Manuals and Frequently Accessed Forms pages.
Billing Guidance and FAQ
Bundled Billing Specs
Urgent Care Center billing update: Dec. 2025
21st Century Cures Act MassHealth Enrollment Frequently Asked Questions
April 2024
January 2024
October 2023
July 2023
For current news, visit the Top of Mind page
