Plans administered by Optum behavioral do not require prior authorization for routine outpatient services. If you need authorization for any of the following services, please select the link below:
Hawaii Authorization Forms
ABA Assessment & Treatment Plan Forms
- ABA Assessment Requests - electronic submission (commercial ABA providers only)
- ABA Treatment Plan - electronic submissions
Psychological Testing Request Forms
- Optum Psych Testing Request Form - electronic submission
- Medica Psych Testing Request Form
Transcranial Magnetic Stimulation (TMS) Forms
- TMS Authorization Request Form (NEW) - electronic submission
Hawaii DSNP and Medicaid Authorization Request Form
- HI Behavioral Health Prior Auth Request Form
for Hawaii DSNP and Medicaid - Auth Page for IOP or Residential for Hawaii DSNP and Medicaid