Behavioral Health

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The Wellcare Behavioral Health Integrated Program enables a holistic approach to care in which one integrated care management team is responsible for both medical and behavioral health.

Behavioral Health Forms

Detox and Substance Abuse Rehab Service Request

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Electroconvulsive Therapy Services Request

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Inpatient, Sub-acute and CSU Service Request

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IOP Service Request

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PHP Services as Covered

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Psychological and Neuropsychological Testing

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Routine Outpatient Services Request

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Other Resources

Medicare Behavioral Health Authorization List

Effective July 1, 2022

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2026 Reference Guides

Maine Medicare Quick Reference Guide

Contains key phone numbers and information on claims, appeals, & more.

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Appeals/Reconsiderations (Medical) & Grievances Guide

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Claims, Disputes & Recovery/CCU Guide

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Pharmacy Services Guide

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Prior Authorization Guide

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Proveedores de Medicare

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