Welcome Massachusetts Providers 

Optum Network Manual

• Network Manual
• Mass General Brigham Health Plan Provider Manual Addendum

Clinical Criteria

• Standard Clinical Criteria

Best Practice Guidelines

• BP Guidelines

Coordination of Care (COC)

• COC Flyer 
• COC Checklist

Prior Authorization Forms

• Massachusetts Authorization/Notification, Assessment and Treatment Forms
• Applied Behavior Analysis Services Prior Authorization Request Standard Form 

Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Frequently Accessed Forms pages.

Designated Community Behavioral Health Centers

Mass General Brigham Health Plan

Massachusetts Medicaid

Harvard Pilgrim Health Plan

Effective 11/1/23 - HPHC will no longer be managed by Optum  More >>

UnitedHealthcare