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KanCare Training for Providers - Ubhonline.com

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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

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