Optum is the contracted provider for behavioral health counseling services for your Peoples Health patients.
Optum provides all behavioral health services in both inpatient and outpatient settings. Behavioral health services include substance abuse counseling, mental health care and depression counseling, as well as partial hospitalization services. Refer to a plan’s Evidence of Coverage or your Provider Benefit Packet for patient cost-sharing.
We do not require referrals for behavioral health services. However, your Peoples Health patients must contact Optum before they schedule any behavioral health appointments to verify their provider’s participation in the network. Patients can visit www.liveandworkwell.com or call Optum at 1-877-566-7913, seven days a week, from 8 a.m. to 8 p.m. TTY users should call 711.
Note: You must obtain prior authorization from Peoples Health before administering any medical services, excluding an initial medical history and physical, to a Peoples Health patient while the patient is at an inpatient facility for behavioral health services. If authorization is not obtained, any claims for these services will be denied, and you will be responsible for the total costs. Authorization will not be granted retroactively for services that have already been administered.
Please remember, claims for any visits with or services provided to Peoples Health patients in an inpatient behavioral health setting should be submitted to Peoples Health for payment, excluding claims for the patient’s initial medical history and physical. As an additional reminder, only the servicing provider indicated on the authorization request may provide authorized medical services to the patient.
Contact your Peoples Health representative with any questions.
To access behavioral health benefits for your Peoples Health patients, contact Optum at 1-877-566-7913.