Welcome to the Optum Network!
Massachusetts Provider Resources
Optum Network Manual
- Network Manual
- AllWays Health Partners Provider Manual Addendum (Rev. 06/2022)
Clinical Criteria
Best Practice Guidelines
Coordination of Care (COC)
Mandates
Child Adolescent Needs and Strengths (CANS) Assessment Medicaid Requirement
Supplemental Clinical Criteria: Massachusetts Commercial (BHCA)
Clinical Area of Expertise Update: PANDAS-PANS
Prior Authorization Forms
- Level of Care Request
- Fax: 844-330-4967 or Email: UTP-PHL@optum.com
- Repetitive Transcranial Magnetic Stimulation (TMS) Request
- Fax: 844-330-4967 or Email: UTP-PHL@optum.com
- Psychological and Neuropsychological Assessment Supplemental Form
- Fax: 888-216-4795
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.
General Information
- MA Network Contact List (Coming soon)
- State-Specific COVID-19 Information
- Health Plan-Specific COVID-19 Information
- MA Suspension of Utilization Review
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 Training Materials
AllWays Health Partners
- Agency Provider Training for AllWays Health Partners
- Behavioral Health for Children and Adolescents Presentation
- Provider Orientation Training, AllWays Health Partners, 2020
- RRS Provider Orientation Training, AllWays Health Partners, 2019
- Supervisory Protocol Training
- AllWays Health Partners Frequently Asked Questions
Massachusetts Medicaid
- Acupuncture
- Acute Treatment Services - SUD Level 3.7
- Ambulatory Withdrawal Management
- Applied Behavior Analysis
- Assessment for Safe Appropriate Care (ASAP)
- BH Acute Treatment Services for SUD-Level 3.7 Pregnancy Enhanced Services
- BH Inpatient Psychiatric Treatment
- BH Intensive Community-Based Acute Treatment for Child and Adolescents
- Clinicial Stabilization Services for SUD Level 3.5
- Community Support Program for Chronically Homeless Individuals
- Community Support Program - Individuals with Justice Involvement
- Co-Occurring Enhanced RRS for SUD Level 3.1
- CSP for Chronically Homeless Individuals
- Dialectical Behavioral Therapy
- E-ATS for Individuals with Co-Occurring MH and SUD
- Enhanced Psychiatric Day Treatment
- Enhanced SOAP for Adolescents
- Enhanced SOAP for Enrollees Who Are Homeless
- Family RRS for SUD Level 3.1
- Family Support and Training
- General Performance Specifications
- In-Home Behavioral Services
- In-Home Therapy
- Inpatient Eating Disorders
- Inpatient Mental Health Services - Individuals with ID
- Inpatient MH Services for Child-Adoles with Intellectual Disabilities, PDD or ASD
- Inpatient SUD Services Level 4 Withdrawal Management
- Intensive Care Coordination
- Intensive Hospital Diversion Program
- Intensive Outpatient Program for Enrollees Who Are Deaf and Hard of Hearing
- Mobile Crisis Intervention
- Observation/Holding Beds
- Opioid Replacement Therapy
- Outpatient Services
- Outpatient Services - Home-Based and Non-Facility Based
- Outpatient Services School-Based
- Partial Hospitalization Program
- Partial Hospitalization Program - Eating Disorders
- Peer Recovery Coach
- Program of Assertive Community Treatment
- Psychiatric Consultation on an Inpatient Medical Unit
- Psychiatric Day Treatment
- Psychological Testing
- Recovery Coach
- Recovery Support Navigator
- Repetitive Transcranial Magnetic Stimulation
- RRS for Pregnant and Post-Parum Women with SUD Level 3.1
- RRS for SUD Level 3.1
- RRS for Transitional Age Youth and Young Adults with SUD Level 3.1
- RRS for Youth with SUD Level 3.1
- Structured Outpatient Addiction Program (SOAP)
- Structured Outpatient Addiction Program with Motivational Interviewing
- Therapeutic Mentoring
- Transitional Care Unit
- Urgent Outpatient Services