The weekly payment cycle begins on Sunday at 12:00 p.m. Eastern Time and includes claims that are processed from Monday through Sunday for the previous week. Submission of claims in a given week is not a guarantee of payment that week. Generally, it can take up to 10 to 14 days for a claim to complete the processing cycle. If you are a biller of PRP claims, the payment procedure is to hold claims 7 calendar days from the date received before processing, to ensure all encounters have been submitted and processed. Although PRP claims are held for the first 7 days, the 10 to 14 days claims processing cycle is still applicable.
Monthly Authorization Submissions to Optum August 1 - 31, 2020
Optum Maryland
Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). We invite you to look through this site to see the many ways we can serve you. If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger:
Services: Find out more about the many recovery-oriented services that MDH/BHA funds through local mental health centers!
About Us: Learn more about the MDH/BHA and Optum Maryland partnership. Find out what that means for you!
News and Events: Stay up-to-date on the upcoming Maryland mental health news, training and events. MDH/BHA and Optum Maryland offer education and community events.
The website has sections for participants and families as well as providers of mental health services. Click on either the “Participants and Families” or the “Providers” tab to see the information that applies to you. Check the website often as it continues to grow to better serve you!
In the Spotlight
- A Guide to the ASO Transition for Releases of Information (ROIs) for SUD Diagnoses: ROI Information
- Updated Optum ROI Form
- For non-Medicaid providers who want to enroll in the no-cost reimbursement program for Reimbursement of Problem Gambling Treatment Services, complete the application found here.
- If you are enrolled in the Problem Gambling program and would like to be on the gambling services referral list, please complete the information found here.
Participant Questions Call Toll-Free:
(800) 888-1965, TTY 711
Monday - Friday: 8:00 AM to 6:00 PM EST
Participant Help to Find a Provider:
Maryland 2-1-1
Provider Questions Call Toll-Free:
(800) 888-1965, TTY 711
Monday - Friday: 8:00 AM to 6:00 PM EST
Maryland Crisis Hotline 2-1-1
Optum Public Toll Free Help Line:
(866) 342-6892
Optum Nondiscrimination Notice and Language Services, see here.
You have the right to get help and information in your language at no cost. To request an interpreter, call (800) 888-1965.