Mental Health Prior Authorization

Utilization Management services

Dean Health Plan provides all Utilization Management services for the behavioral health needs of our members. A prior authorization is required for the following mental health and substance use services:

  • Detox
  • Inpatient
  • Residential
  • Out-of-network outpatient

To request a prior authorization or notify Dean Health Plan of an urgent/emergent admission:

Mental health education

Our mental health provider education annual training is a series of slides for in-network behavioral health providers navigating care to individuals enrolled in a Dean Health benefit plan.

Additional resources:

Be prepared to provide the following information (not an inclusive list):

All services:

  • Provider tax ID and address
  • Member name, birthdate and Dean Health Plan ID #
  • Current diagnosis
  • CPT codes
  • Medications
  • Length of authorization
  • Clinical information supporting level of care being requested

Inpatient services:

  • Admission date
  • Attending health care provider name
  • Provider contact name and phone number for concurrent review

You must notify us of any urgent/emergent inpatient mental health or detox admission within 24 hours of admission.