KanCare Training for Providers - Ubhonline.com
KanCare Training for Providers - Ubhonline.com
KanCare Training for Providers - Ubhonline.com
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Authorization<br />
Non-emergent situations<br />
• Prior authorization can be<br />
obtained by a member, family<br />
member, or a provider. When<br />
calling Optum be prepared to<br />
provide demographic in<strong>for</strong>mation<br />
and a brief description of the<br />
presenting problem. Optum will<br />
explain the services available<br />
under their benefit plan.<br />
• Authorization phone<br />
number: 855-802-7095<br />
Emergent situations<br />
• A medical professional, a member,<br />
or a lay person in an emergency<br />
situation can identify the need <strong>for</strong><br />
behavioral health services.<br />
Conditions that warrant an<br />
emergency admission are<br />
situations in which there is a clear<br />
and immediate risk to the safety of<br />
the member or another person as<br />
a direct result of mental illness or<br />
substance abuse.<br />
• Optum must be contacted <strong>for</strong> a<br />
prior authorization of additional<br />
care.<br />
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.<br />
13