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Notice: Transcranial Magnetic Stimulation Requests for Ambetter Members

Date: 05/14/20

Ambetter from Superior HealthPlan requires specific items when submitting prior authorization requests for Transcranial Magnetic Stimulation (TMS) services.

TMS providers are encouraged to review the following document to ensure all required information is included in prior authorization requests:

This checklist can also be found under Behavioral Health on Ambetter’s Provider Resource webpage, as well as How To on Superior’s Training and Manuals webpage.

For any questions, please reach out to your local Account Manager or contact Provider Services at 1-877-687-1196.