Washington Prior Authorization Requirements for UnitedHealthcare Exchange Plans (Behavioral Health Services)
Lists behavioral health services and specific procedure/revenue codes that require prior authorization for UnitedHealthcare Exchange Plan members in Washington, effective January 1, 2025. Applies to inpatient and outpatient behavioral health providers; emergency/urgent care and out-of-area/out-of-network exceptions noted.
Policy establishes prior authorization requirements for behavioral health services in Washington effective January 1, 2025.
Policy summary
This policy lists behavioral health services and the specific procedure/revenue codes that require prior authorization for UnitedHealthcare Exchange Plan members in Washington, effective January 1, 2025. Requests must be submitted online using the Prior Authorization and Notification tool accessed via Sign In on UHCProvider.com. Prior authorization is not required for emergency or urgent care. Member-specific benefits may vary, so coverage and requirements should be confirmed in the member-specific benefit plan document.
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