Authorization Instructions
Prior Authorization
- For mental health/substance abuse services for Generations Advantage Plan members call BHCP at 1-800-708-4532.
- For mental health/substance abuse services for US Family Health Plan members call BHCP at 1-888-812-7335.
- Imaging Services for Generation Advantage members ONLY: eviCore manages authorizations for the following advanced imaging services:
- For both Generations Advantage and US Family Health Plan members, prior authorization may be requested by the member's PCP or by the servicing provider/facility.
- Prior authorization is not required for emergency care.
- Prior authorization requests should be submitted at least 14 calendar days prior to the date of service or facility admission.
- If the servicing provider is not part of the Martin’s Point network, we require a letter of medical necessity (including clinical
documentation) explaining why the service(s) can only be provided by this specialist.
www.eviCore.com/healthplan/Martins_Point
Retrospective Authorization
Please refer to the Forms and Documents section for more information.
Questions? Read more in the Provider Manual or Contact Us.