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Psychological & neuropsychological assessment auth form updated
April 5, 2019

This article is for psychiatrists, psychologists, psychopharmacologists, and behavioral health facilities.

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 Psychological and Neuropsychological Assessment form. Please use this form to submit all requests for psychological and neuropsychological assessments.

Interim steps no longer required
In January, we announced several interim steps for you to complete until the Collaborative updated their form. Those steps are no longer required. Please be sure to submit both our Psychological and Neuropsychological Assessment Supplemental form and the Psychological and Neuropsychological Assessment form found on the Collaborative’s website.

If you have questions about the new form, please contact your Network Manager.


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