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Prior Authorization for Out of Network Behavioral Health Services

Effective September 1, 2025, Meridian will implement a policy requiring prior authorization for members to receive services from out-of-network Behavioral Health (BH) providers. This policy change is intended to support high-quality, coordinated care, and ensure the appropriate use of network resources.

What You Need to Know:

  • The requirement does not apply to emergency room care, urgent care, or services rendered at a Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), or Tribal Health Center (THC).
  • Members should use the “Find a Provider” tool or contact Member Services to verify if their Behavioral Health provider is in-network.

Join Our Network:

Become a participating provider by joining our network! To find out more information, submit a request on our Join our Network page.

How To Check Your Status:

Providers can check their network status by calling the dedicated Provider Service departments for assistance:

For information regarding our prior authorization requirements for non-BH providers, please see our previous bulletin regarding out of network prior authorizations.

Last Updated: 07/23/2025