New Mexico Prior Authorization Requirements for UnitedHealthcare Exchange Plans - Behavioral Health
Lists behavioral health inpatient and outpatient services and procedure/revenue/CPT codes that require prior authorization for UnitedHealthcare Exchange Plan members in New Mexico, effective January 1, 2025. Applies to participating behavioral health providers; emergency/urgent care exempt and member-specific benefit documents may alter coverage.
No material changes
Policy summary
This document identifies behavioral health services that require prior authorization for UnitedHealthcare Exchange Plan members in New Mexico. Emergency and urgent care are exempt from prior authorization. Prior authorization requests are to be submitted online through the Prior Authorization and Notification tool via Sign In on UHCProvider.com.
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