MA Common Wealth Alliance: new prior auth req BH services

If you are a BH provider that accepts Senior Care Options and One Care Behavioral Health members? Then the following blog post is for you!


What is changing?

  • For any DOS on or after 09/1/26 there will be a prior notification/prior authorization requirenment for certain BH services

Which services are subject to this change?

Image via CCA website
Image via CCA website

Submitting a notification:

  • Fill out CCA notification form and send it in via fax: 855-341-0720

Submitting a prior auth:

  • Option 1- CCA provider portal
  • Option 2- via fax- 855-341-0720
  • To find the proper form please visit CCA forms and referrals page.

Successful process

  • make sure your medical billing/prior authorization team is aware of the changes mentioned above.
  • Submit the required documentation or notofocation within the listed time frames to avoid issues with reimbursement

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