Welcome to the Optum Network!

• Provider Quick Reference Guide
• NY Medicaid Adult BH Provider Manual 2019-2020

• BH Service Request Procedure
• BH HCBS Language Assistance Services (Adults and Children)
  
• Provider Notice of Mobile Crisis Benefit for October 2019

• NY Behavioral Health Provider Training
• NY Behavioral Health HCBS Provider Training

• Sentinel Event Reporting Requirement Notification
• Sentinel Event Reporting Form

NY Medicaid Audit Tools

• Case Management Record Audit Tool
• Clubhouse Site Audit Tool
  
• HCBS Record Review Tool
• Home office Audit Tool
  
• Individual Clinician Site Audit Tool
  
• MAT Program Site Review Tool
  
• Organizational Provider Site Audit Tool
• Peer Support Audit Record Tool
• Peer Support Site Audit Tool
  
• Psychosocial Rehababilitation Site Audit Tool

• NY Adult HARP Clinical Practice Guidelines
  
• HCBS Workflow: Level of Service (LOS) Determination Request and HCBS Plan of Care Submission
  
• Instructions for ECG Quick Connect for HH CMAs
  
• Notification and Concurrent Review Protocol Related to 2017 SUD Legislation
  

Prior Authorization and Notification (PAAN)

• Provider Alert: Prior Authorization and Notification Guide For Behavioral Health Providers
  
• To Initiate Prior Authorization and Notification

• NY Children’s Behavioral Health Quick Reference Guide
  
• Children’s New York BH Provider Manual effective 10/1/2019
  
• Health Home (coming soon)
• NY BH Benefits effective 1/1/2019
  
• NY BH Benefits effective 7/1/2019
• NY Children and Family Treatment and Support Services End-to-End (E2E) Claims Testing

• Sentinel Event Reporting Requirement Notification 
• Sentinel Event Reporting Form 
• NY Medicaid Audit Tools
  • Peer Support Record Tool 
  • Psychosocial Rehab Record Tool 
  • Treatment Record Tool 

• Provider Notice of Under 21 Medicaid Service Implementation for January 2019
  
• Provider Notice of Under 21 Medicaid Service Implementation for July 2019
  
• Provider Notice of SED Clinic Services Carve-in for Under 21 Medicaid Members for July 2019
  
• PAAN Provider Alert
  
• Provider Notification of HCBS Implementation for Under 21 Medicaid Members for October 2019
  
• HCBS Provider Authorization for Under 21 Medicaid Members
  
• HCBS Language Assistance Services
  
• Provider Notice of Mobile Crisis Benefit for October 2019
  
• Provider Notice of Under 21 Medicaid Service Implementation for January 2020
  Center for Practice Innovation (CPI)
  
• Provider Alert for CPI Provider Training
  
• CPI Children’s Uniform Clinical Network Provider Training

• NY Children’s Provider Orientation: Children and Families Treatment and Support Services (CFTSS) January 1, 2019 Implementation
  
• NY Children’s Provider Orientation: January 2020 Implementation
  
• NY Children’s Provider Orientation July 2019 Implementation
  
• PCP Training for Children’s BH Benefits effective 1/1/2019
  
• PCP Training for Children’s BH Benefits effective 7/1/2019
  

UHC ON Air Provider Training & Information

• Training
  
• UHC on Air
• UHC ON Air Provider Training & Information

• Level of Care Guidelines for Optum and State Specific
• NY Children’s Clinical Practice Guidelines

Prior Authorization and Notification (PAAN)

• Provider Alert: Prior Authorization and Notification Guide For Behavioral Health Providers
  
• To Initiate Prior Authorization and Notification

• Foster Care Tool Kit