​Behavioral Health services that require a referral or prior authorization

​​There are several Behavioral Health (BH) services that require referral or prior authorization.

The following services can be accessed through receiving prior authorization from your primary care or BH provider by having them complete
this form.
  • Psychological Testing
  • Neuropsychological testing
  • Autism Spectrum Diagnostic Evaluations
  • Electroconvulsive Therapy (ECT)
  • Transcranial Magnetic Stimulation (TMS)  
  • Higher levels of care:  
    • GHC-SCW Foundations Intensive outpatient (IOP) please use this form.
    • For other Intensive Outpatient programs use this form.  
    • Day treatment  
    • Partial hospitalization program (PHP)  
    • Residential Treatment  

GettyImages-1353223679.jpgThe following services require prior authorization from a BH provider.
  • Autism Spectrum Disorder: (ASD) treatment (a diagnosis of ASD must be established prior to treatment initiation). 
  • If you are new to GHC-SCW and have questions about where to go for ASD treatment, please contact Care Management (608) 257-5294.