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Welcome to the Optum Network!

Massachusetts Provider Resources

Optum Network Manual

Clinical Criteria

Best Practice Guidelines

Coordination of Care (COC)

Mandates

MA Commercial Business Emergency Department Boarding Prevention Special Services Facility Authorization Process

Child Adolescent Needs and Strengths (CANS) Assessment Medicaid Requirement

Supplemental Clinical Criteria: Massachusetts Commercial (BHCA)

Clinical Area of Expertise Update:  PANDAS-PANS

Prior Authorization Forms

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 Optum Forms pages.

 

General Information

Provider Training Materials

AllWays Health Partners

Massachusetts Medicaid

Harvard Pilgrim Health Plan

UnitedHealthcare