Pre-Authorization Requirements

Providers will no longer need prior authorization for medication management, CPT code 90862, certain initial assessment codes, and certain injection codes. Please remember that services not identified above will continue to require pre-certification. MHNet staff is available from 8 a.m. to 5 p.m. to precertify routine care and MHNet Case Managers are available 24/7 for urgent and emergent needs.

Reminder regarding claims - you have two billing choices. The fastest, most efficient way: electronically through our clearinghouse, Emdeon, with Payer ID 74289; or submitting paper claims.

If concerns arise when incorporating these changes into your office routine or you have questions, please call MHNet during business hours at the same contact number used in the past - these remain unchanged. MHNet's contact number is typically on the back of the member's identification card.

• Updated list of codes that require no prior authorization
• Claims billing details