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Authorization

Learn about the Humana Behavioral Health authorization process and procedures.

Save Time: Request Patient Authorizations Online

This online tool offers 24-hour access to faster authorizations, member benefit information and network status details for participating and non-participating providers.

Online Authorization Tool
(Does not require log-in information)

Use the online authorization tool to obtain authorizations for:

  • Initial and Concurrent Intensive Outpatient
  • Initial and Concurrent Partial Hospitalization
  • Initial and Concurrent Inpatient Detox
  • Initial and Concurrent Inpatient Psychiatric
  • Initial and Concurrent Routine Outpatient
  • Electroconvulsive Therapy
  • Psychological and Neuropsychological testing
  • Consults on Medical Floors and in Nursing Homes
  • Certification end date extensions
  • Discharge Reviews/Notifications

The online authorization tool is also available via the Humana Behavioral Health Provider Portal.

Alternate: Outpatient Authorization by Phone/Fax

By Phone
For initial outpatient authorizations, please contact the number on the back of the patient’s ID card and speak with the Clinical Department.
By Fax
Fill out the Initial Outpatient Clinical Review Form and fax to 1-800-807-1898.
Download Outpatient Clinical Review Form for All Providers (Except CA)
(41 KB) Download PDF
English
Download Outpatient Clinical Review Form for California Providers
(41 KB) Download PDF
English

Outpatient Authorization

Humana Behavioral Health authorizes up to 20 visits for the initial outpatient mental health treatment, depending on the member’s benefit structure. If further sessions are required, an additional 8-10 sessions can be authorized based on medical necessity and clinical information submitted by the provider.

EAP Sessions

The number of EAP visits depends on the member’s particular contract/plan.

Alternate: Inpatient Authorization by Phone/Fax

By Phone
For inpatient authorizations, please contact the number on the back of the patient’s ID card and speak with the Clinical Department.
By Fax
Fill out the Inpatient Clinical Review Form and fax to 1-800-807-1898.
Download Inpatient Clinical Review Form for Texas Provider
(139 KB) Download PDF
English
Download Instructions for Inpatient Clinical Review Form for Texas Providers
(120 KB) Download PDF
English
Printable Health Insurance Page From Humana