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Welcome Kentucky Behavioral Health Providers 

  


Authorization Requests

Inpatient, Partial Hospitalization, Residential and Intensive Outpatient Services can be requested by phone at 1-800-658-0569 or by signing in to the secure Provider Express Portal. Retroactive requests are submitted in writing to:

Optum Behavioral Health Solutions 
Attn: National Appeals Department
P.O. Box 30512
Salt Lake City, UT
84130-0512
Fax: 1-855-312-1470

If you have any questions, please call 1-866-556-8166.


Discharge Planning

Western, Central and Eastern state hospital facility discharge planning assistance, please email discharge summaries to care advocacy for assistance

In-network SUD residential treatment facility discharge planning assistance, please email discharge summaries to care advocacy for assistance 

Kentucky Health Information Exchange

If you have questions about KHIE or want to begin the connection process, please email KHIE@ky.gov, Call 502-564-7992 EXT 2800 or visit them online.

At least annually, the Health Plan will remind all physical health and behavioral health, providers of their role in providing comprehensive health care and the importance of integrated physical and behavioral health, especially for people experiencing chronic physical and/or behavioral health issues. In this reminder, PCPs will be encouraged to use State-approved screening tools and other resources to facilitate early identification of behavioral health needs.

Optum has adopted the InterQual® Care Guidelines for guidance on clinical criteria decisions for the treatment of behavioral health conditions for Kentucky Medicaid membership.  The InterQual® criteria Care Guidelines are proprietary to InterQual® and are not published on this website.

 

UnitedHealthcare Community Plan

UnitedHealthcare Community Plan
Attn: Health Services
P.O. Box 5270
Kingston, NY 12402-52701

Claims, appeals, disputes and payments 
Eligibility and referrals

For claims assistance, please contact your Behavioral Health Provider Advocate below to receive the PCI spreadsheet for direct email support. 

Individuals, Groups, CMHCs and Facilities, KPCA – 4, 5, 7, 8
Lucy HowardLucy.Howard@optum.com(P) 763-321-2109
Individuals, Groups, CMHCs and Facilities - Regions 1, 2, 3, 6Krista HubbardKrista.Hubbard@optum.com(P) 952-324-4667

If no resolution is found, contact the Director of Provider Relations, KY:

All Regions Amanda GloecknerAmanda.Gloeckner@optum.com(P) 612-428-6652

Behavioral Health Trainings

Optum Health Education Training 

Behavioral Health Identification, Treatment and Referral in Primary Care: 3-Part On-Demand Series

Part 1: Depression and Follow-up After Higher Levels of Care​ Available until June 8, 2027
Part 2: Substance Use Disorders in Primary Care Available until November 1, 2024
Part 3: Behavioral Health Treatment for Children and Adolescents Available until February 14, 2025

            Begin the Training                        Download the Flyer

Provider Relations Trainings 

Both on-demand and re-occurring trainings are available through your Provider Advocate. Please refer to the map to identify the Advocate for your area. 

Recovery and Resiliency Trainings 

Mental Health First Aid (Adult)
Mental Health First Aid (Youth)
Flite 
​Seeking safety
​Trauma-informed care
8 dimensions of wellness
Cultural competency
​Sustainability
Educational presentations
​Self-care presentation
​Coping with anxiety and stress 

To request a recovery and resilience training, please email Keia Briscoe