Behavioral Health authorization forms
In-network providers
In-network providers can request authorization for mental health and substance use disorder services, evaluations and discharges using GuidingCare Auth portal.
Out of network providers
If you're a provider located within the state of Michigan and would like to join our provider network, visit our credentialing application page.
Out of network providers can request mental health and substance use disorder services using our authorization request forms below.
- General Behavioral Health authorization form
Use this form for: psychiatric inpatient, partial hospitalization, detoxification, residential treatment and other behavioral health services - Applied Behavioral Analysis (ABA) therapy authorization request form
- Transcranial Magnetic Stimulation (TMS) for depression authorization request form