Welcome to the MN Behavioral Health Provider page
Optum Network Manual
Special Regulatory Attachment
Clinical Criteria
Best Practice Guidelines
Coordination of Care (COC)
Optum Preventive Health Programs
Other forms can be found on the Provider Express MN CMC Forms page.
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 Optum Forms pages.
MN EIDBI Benefit
Provider Relations Team
Training
Announcements
Member Eligibility
Provider Resources
Authorization Requirements
Authorization Forms
General Information
- ICBS (Intensive Community Based Services)
- Immediate follow-up appointments available
- SBIRT (Screening, Brief Intervention, and Referral to Treatment )
- Information and resources for working with Medica Behavioral Health
MH TCM
Psychological Testing Request Forms
- Medica Psych Testing Request Form - (PDF download)
Other Authorization Request Forms
- Medica Medicare Behavioral Health Quick Reference Guide
- Mental Health Retrospective Request Form - Medica Behavioral Health - MN CAC
Medicaid Early Intensive Developmental and Behavioral Intervention (EIDBI)
- EIDBI Overview
- Comprehensive Multi-Disciplinary Evaluation (CMDE) DHS Form
- Individual Treatment Plan and Progress and Monitoring DHS Form
Medica and Optum Training
Medica Escalation Process