Florida Authorization Forms

Plans administered by Optum behavioral do not require prior authorization for routine outpatient services. If you need authorization for any of the following services, please select the link below:

ABA Assessment & Treatment Plan Forms

ABA Assessment Requests - electronic submission (commercial ABA providers only)
ABA Treatment Plan - electronic submissions

Psychological Testing Request Forms

Optum Psych Testing Request Form - electronic submission

Transcranial Magnetic Stimulation (TMS) & Electroconvulsive Therapy (ECT) Forms

TMS & ECT Authorization Request Form (NEW) - electronic submission

Florida Medicaid - Atypical Antipsychotics for Preschoolers - Prior Notification