Behavioral Health Prior Authorization

Effective Jan. 1, 2019, Prevea360 Health Plan will provide all Utilization Management services for memebers with behavioral health needs.See our Medical Prior Authorization Services List to confirm which behavioral health services require prior authorization.

To request a prior authorization or notify PreveaHealth of an urgent/emergent admission:

Be prepared to provide the following information as necessary (not an inclusive list).

All Services

  • Provider Tax ID and address
  • Member Name, Date of Birth, and Dean Health Plan ID #
  • Current Diagnosis
  • CPT Codes
  • Medications
  • Length of authorization
  • Clinical information supporting level of care being requested

Inpatient Services

  • Admission Date
  • Attending provider name
  • Provider contact person's name and phone number for concurrent review
Notification of an urgent/emergent inpatient mental health or detox admission is required within 24 hours of admission.