December 14, 2018
Prior Authorizations for Behavioral Health Transports
Effective immediately, behavioral health transports will not require prior authorization. HPP will pay claims for behavioral health transports without a prior authorization.
As a reminder, all Health Partners (Medicaid) ambulance providers must have an active PROMISe ID # and all claims must include a behavioral health ICD-10 diagnosis code. Additionally, all behavioral health transports must be for a level of transport appropriate to the documented need and should be for the transportation of an HPP member to a behavioral health facility.
Note that claims will be subjected to random auditing to ensure appropriate utilization.
For more information, please contact our Provider Services Helpline at 1-888-991-9023 (M–F, 9:00 a.m. to 5:30 p.m.)