Prior authorization requirements depend on your specific insurance plan and the level of care recommended for your recovery. We generally find the following requirements for our Outpatient Services:

• Partial Hospitalization Program (PHP): This level of care almost always requires prior authorization due to its intensity (typically 5–7 days per week).
• Intensive Outpatient Program (IOP): Prior authorization is often required for this program, which usually involves 3–5 days of treatment per week.
• Outpatient (OP): Traditional outpatient services, consisting of 1–2 sessions per week, only sometimes require prior authorization.

We understand that navigating these requirements can be stressful, which is why we handle all prior authorization paperwork on your behalf. Our admissions team will perform a thorough verification of benefits (VOB) to confirm exactly what your plan requires. We then prepare the necessary clinical documentation—including bio-psychosocial assessments and treatment plans—and submit them electronically to speed up the approval process.

Standard requests are typically processed by insurers within 24 to 72 hours. Because requirements vary by insurance provider and state regulations, we recommend contacting us for a free, confidential insurance verification so we can give you a clear picture of your specific coverage. Results may vary based on individual insurance providers.

Information on this site is not a substitute for professional medical advice. Please consult a healthcare professional for diagnosis and treatment recommendations.

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