Behavioral Health 

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Prior Authorization

WellFirst Health provides all Utilization Management services for the behavioral health needs of our members. See our Medical Prior Authorization Services List to confirm which behavioral health services require prior authorization.

To request a prior authorization or notify WellFirst Health of an urgent/emergent admission:

  • Submit information through the Provider Portal (if you have access).
  • Fax request to 608-252-0843 using the behavioral health prior authorization form.
  • Call our Customer Care Center at 866-514-4194.

Be prepared to provide the following information (not an inclusive list):

All services 

  • Provider tax ID and address
  • Member name, birthdate and WellFirst Health ID #
  • Current diagnosis
  • CPT codes
  • Medications
  • Length of authorization
  • Clinical information supporting level of care being requested

Inpatient services

  • Admission date
  • Attending health care provider name
  • Provider contact name and phone number for concurrent review
You must notify us of any urgent/emergent inpatient mental health or detox admission within 24 hours of admission