| Blue Cross Commercial (YLS & NYC Prefix) |
Value Options Commercial | X28 |
866-612-7795 |
| Blue Cross Medicare |
Blue Cross MCR PSY IP Only (Mental Health Only) | A69 |
877-744-2319 |
| Emblem GHI HMO/PPO |
Value OPT GHI BMP | X08 |
866-612-7795 |
| Emblem GHI MCR (Medicare) |
Value Options MCR CHCS GHI | A45 |
866-612-7795 |
| Emblem HIP CHP |
Value Opt Commercial | X28 |
866-612-7795 |
| Emblem HIP CMO/PPO |
Value Opt Commercial | X28 |
866-612-7795 |
| Emblem HIP Essential 1 & 2 |
Value Opt Commercial | X28 |
866-612-7795 |
| Emblem HIP Essential 3 & 4 |
Value Opt HMO MCD PSY | L35 |
866-612-7795 |
| Emblem Hip Medicaid |
Value Opt HMO MCD PSY | L35 |
866-612-7795 |
| Emblem HIP MCR Medicare |
Value Opt MCR | A46 |
866-612-7795 |
| Fidelis CHP |
Fidelis CHP PSYCH (Mental Health Only) | L43 |
833-663-1608 |
| Fidelis MCD (Medicaid) |
Fidelis MCD Psych Detox Rehab | L42 |
833-663-1608 |
| Hamaspik Choice MCR (Medicare) |
Value Options MCR CHCS GHI | A45 |
866-612-7795 |
| Medicaid |
Medicaid Psych (Mental Health Only) | M05 |
Not Required |
| Medicare |
Medicare Part A Psych (Mental Health Only) | A21 |
Not Required |
| Oxford Health Plan |
Optum Behav Health | X45 |
866-648-7828 |
| Oxford MCR (Medicare) |
Optum Behav Health MCR | A56 |
866-648-7828 |
| Pomco UMR |
Optum Behav Health | X45 |
866-648-7828 |
| UHC Commercial |
Optum Behav Health | X45 |
866-648-7828 |
| UHC Community Plan |
Optum Behav Health MCD | L62 |
866-648-7828 |
| UHC Community Plan CHP |
Optum Behav Health MCD | L62 |
866-648-7828 |
| UHC Essential Plus 1 & 2 |
Optum Behav Essential 1 & 2 | I59 |
866-648-7828 |
| UHC Essential 3 & 4 |
Optum Behav Essential 3 & 4 | L59 |
866-648-7828 |
| UMR Pomco Non County |
Optum Behav Health | X45 |
866-648-7828 |
| United Health MCR / MCR HMO Optum Care |
Optum Behav MCR | A56 |
866-648-7828 |