Discharge information must be submitted within 24 hours (one business day) of the member's discharge from the facility.
To support timely post-discharge follow-up for members discharged from an inpatient setting, complete the Discharge section of the Behavioral Health authorization form and submit the information as outlined below.
In-network providers
- Upload the member’s discharge instructions through the GuidingCare authorizations portal within 24 hours (one business day) of discharge.
Out-of-network providers
- Fax the completed Behavioral Health authorization form and applicable discharge information to 616.975.0249.
- Providers located in Michigan who are interested in participating in the Priority Health provider network may apply using the credentialing application page.
If the member is discharged earlier than anticipated and the facility will not bill for all authorized dates of service, indicate the revised date range and the total number of days used during the member’s treatment.
For assistance supporting a member’s discharge plan (including help identifying in-network providers to address a specific need), contact Care Coordination at 800.673.8043.
Discharge information should include:
- Discharge date
- Discharge diagnosis
- All details regarding a treatment order if applicable
- Outpatient therapy appointments including provider name(s), date(s), and time(s)
- Medications (please note whether member is on a long acting injectable)
- Member’s current stage of change
- Guardian information if applicable
- Member contact information including current address and phone number