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Welcome Massachusetts Providers 

Mass General Brigham Health Plan Office Hours 

Join a virtual office hours session to learn about designated topics, get answers to general questions and tips for doing business with Optum. 

Topic Date and time Registation Link
How to read a PRA Mar. 18, 2:00 - 3:00 p.m. ETRegister
Check claim status in secure portal May 20 2:00 - 3:00 p.m. ETRegister
Check eligibility/benefits in secure portalJuly 15 2:00 - 3:00 p.m. ETRegister 

Provider Resources

Benefit, Eligibility and Authorizations Training
Claims and Billing Training
My Practice Info Training
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

 

Get ready to support MGBHP D-SNP plans in 2026

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.

Get more information and register today!


Outpatient Care Engagement 

Schedule an online HIPAA-compliant appointment with a member of our Outpatient Care Engagement team.

Community Corner 

Optum employees are volunteeering to make our communities stronger. 



Feb. 2026 Pine Street Inn collaboration

Mass General Brigham Health Plan

Massachusetts Medicaid


Provider Guidance and Training Resources 

New Provider Orientation
Claim Billing Guide – Billing under Supervision
Family-based Intensive Treatment (FIT) QRG
MA BHCA Provider FAQ
UHC Senior Care Options and One Care Training
United Behavioral Health BHCA Provider Training: Phase 2

 


Prior Authorization Forms 

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.


Community Behavioral Health Centers (CBHCs) Behavioral Health Urgent Care Centers  (BHUCs)

Billing Guidance and FAQ
Bundled Billing Specs

Urgent Care Center billing update: Dec. 2025

 


Medicaid Enrollment & Participation FAQ

21st Century Cures Act MassHealth Enrollment Frequently Asked Questions


Newsletter Archives

April 2024 
January 2024 
October 2023 
July 2023 

For current news, visit the Top of Mind page

Massachusetts Mandates

Behavioral Health Acute Treatment Coverage

MA Mandate: Emergency Room Boarding Days Awaiting Inpatient Psychiatric Admission – In-Network Providers, Opens In New Window

MA Mandate: Emergency Room Boarding Days Awaiting Inpatient Psychiatric Admission – Out of Network Providers, Opens In New Window

MA Commercial Business Emergency Department Boarding Prevention Special Services Facility Authorization Process, Opens In New Window

Mobile Crisis Intervention Services, Opens In New Window

Supplemental Clinical Criteria: Massachusetts Commercial (BHCA), Opens In New Window

Clinical Area of Expertise Update:  PANDAS-PANS, Opens In New Window

Certified Peer Support Benefit

Recover Coach Benefit

Annual Preventative Mental Health Wellness Exam, Opens In New Window