Welcome to the Optum Network!
Massachusetts Provider Resources
Optum Network Manual
Clinical Criteria
Best Practice Guidelines
Coordination of Care (COC)
Prior Authorization Forms
Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Frequently Accessed Forms pages.
General Information
Important Information for MA Behavioral Health Providers About Optum Pay Services
Important Information for MA Behavioral Health Providers About Optum Pay Premium Fee Waiver
Optum Pay FAQs for Massachusetts Behavioral Health Providers (Updated 3.22.21)
Optum Pay QRG for Massachusetts Behavioral Health Providers
Payment Options for Massachusetts Behavioral Health Providers
Electronic Payment Solutions through Optum Pay – Q2 2021
Provider Guidance and Training Resources
Designated Community Behavioral Health Centers
Mass General Brigham Health Plan
Massachusetts Medicaid
- Upcoming deadlines for reporting American Rescue Plan funds to MassHealth
- Area of Expertise (AOE) Updates Required
- Children’s Behavioral Health Initiative (CBHI) Authorization Alert
- Child Adolescent Needs and Strengths (CANS) Assessment Medicaid Requirement
- Continuity of Care period extended to August 31, 2023 for Mass General Brigham ACO membership
- Coverage for Behavioral Health Acute Treatment
- Incident and Issue Reporting Portal
- MA Medicaid Inpatient Psych Additional Payment
- Access to Health Services / Telehealth Options for Members Enrolled in MCEs
- MA Medicaid Preventive Pediatric Care Services
- OTP Code Changes
- MGBHP is updating member ID numbers and cards for all members
- Updates to acute medical and inpatient psychiatry settings