Prior Authorization Requirement
For Licensed Individual Practitioners (LIPS) providers Rehabilitative Behavioral Health Services (RBHS) providers, prior authorization will be required starting June 1, 2019 for any combination of the following procedure codes for continued services after the 24th encounter within a calendar year per member: 90832, 90834, 90837, 90846, 90847, 90849, and 90853.
Additionally, for all provider types, Absolute Total Care will reset its benefit limits for all codes identified above to match the benefit limits currently outlined by the South Carolina Department of Health and Human Services (SCDHHS). For more details, click the button below to view the provider letter.
Management of the Behavioral Health provider portal will transition from Cenpatico (a subsidiary of Envolve PeopleCare) to the Absolute Total Care secure provider portal. As part of this change we will be moving the Cenpatico provider portal functions to the Absolute Total Care secure provider portal.
Beginning on April 27, 2018 Behavioral Health providers should access their secure provider portal at absolutetotalcare.com.
If you previously accessed the Behavioral Health secure provider portal through Cenpatico, you will need to create a new account at absolutetotalcare.com. However, please be aware, you will not be able to create a new account at absolutetotalcare.com until on or after April 27.
*NOTE: New account creation only applies to Behavioral Health providers who have an existing account through Cenpatico. If you already have an account at absolutetotalcare.com, you do not need to register again.
Through the secure provider portal you can:
- Check member eligibility
- Submit and manage claims
- Submit and view prior authorizations
- Review and download payment history
- View member gaps in care
- Secure Message absolutetotalcare.com
- Manage multiple accounts
For more information about the secure provider portal, visit the Login page.
If you have any questions about this transition, please call Absolute Total Care Provider Services at 1-866-433-6041.
Click the link below for The American Psychiatric Association Practice Guidelines for Pharmacological Treatments.