Outpatient Behavioral Health Services

Outpatient therapy

Authorization is not required for the first 12 outpatient therapy visits per benefit year. These are in addition to psychiatric medication visits, group therapy, psychotherapy for crisis, and collateral contacts, which are also exempt from prior authorization.

If the member needs more than 12 visits, submit an outpatient authorization request via Tufts Health Provider Connect or fill out the Behavioral Health – Level of Care Request Form (Standard Form) and fax it to 888.977.0776. Please see the Behavioral Health Outpatient Authorization Request Instructions for help on submitting authorizations online.

Acupuncture detoxification and substance use treatment

Please call 888.257.1985 for initial authorization.

Psychological testing

Prior authorization is required for psychological testing. Please submit the Authorization Request for Psychological Testing Form.

Electroconvulsive therapy (ECT)

Prior authorization is not required for electroconvulsive therapy.

Group therapy

Prior authorization is not required for group therapy (90853). This service does not count toward a member’s initial 12 outpatient visits per benefit year.

Fax number

Fax all behavioral health forms to 888.977.0776.

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