Need benefit information?
Contact our Provider Line at: 630-646-5370.
Initial Treatment
Authorization Form
Are you an in-network provider seeing a patient for the first time or is this the first time a different provider at your same office is seeing an existing patient? Let’s get their initial authorization started.
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Additional Treatment
Authorization Form
Are you an in-network provider with a patient who utilized most of the allotted initial sessions and find this member/family needs continued care? Let's get this additional authorization started.
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YEAR END 2021-2022 Treatment
Authorization Form
Are you an in-network provider with IHP patients who are scheduled in 2022 for continued care. Submit up to 10 member requests for 2022 per form.
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Psychiatrist Request for Mental Health Residential
Complete/fax this form if you are a psychiatrist seeking authorization for a patient who needs treatment in a residential mental health program
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Psychiatrist Request for Chemical Dependency (CD) Residential
Complete/fax this form if you are a psychiatrist seeking authorization for a patient who needs treatment in a residential CD program.
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Psychiatrist Request for
Psychological or Neurological Testing
Complete/fax this form if you are a psychiatrist seeking authorization for psychological testing or neurological testing.
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Psychiatrist Request for
Transcranial Magnetic Stimulation (TMS)
Complete/fax this form if you are a psychiatrist seeking Transcranial Magnetic Stimulation (TMS) treatment for a patient.
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Out of Network Provider FAQ
I am an Out of Network provider, how do I get an authorization?
- If you need help verifying if you are seeing a member of one of our managed plans, you can check which plans we manage on our Individual/Member FAQ or call our Provider Line to verify eligibility at 630-646-5370.
- We do not provide authorizations for OON providers. Members can be referred to us for help finding an in network provider.
The Behavioral Care Partners Provider Network is currently closed to new providers. If you would like us to keep your information on file in the event there is a gap in network we need to fill, please fill out the Provider Information and Specialties Form below.
- Fill out the BCP Provider Information and Specialties Form