This article is for psychiatrists, child psychiatrists, and psychiatrist/neurologists, community mental health centers, behavioral health hospitals, participating detox facilities, cooperating state psychiatric hospitals, and opioid treatment centers.
As part of its efforts to simplify administration for providers, the Massachusetts Collaborative creates standardized authorization forms and updates them as needed. To reflect changes to CPT codes, the Collaborative has updated the Repetitive Transcranial Magnetic Stimulation (rTMS) Request Form. Please use this form to submit all requests for rTMS services.
Blue Cross also requires Supplemental Form
To ensure that providers always use the most current version of the form, we have put a link to the Collaborative’s form on our Repetitive Transcranial Magnetic Stimulation Request Form and changed the name of our form to Repetitive Transcranial Magnetic Stimulation Supplemental Form. Please be sure to submit both the Request Form and Supplemental Form.
If you have questions about this new form, please contact your Network Manager.