What is the prior approval criteria for mental health services provided by allied professionals?
Prior approval requests must be accompanied by:
- A letter from a physician that indicates the diagnosis and referral for assessment / psychotherapy / counselling therapy and
- the Initial Assessment report.
The Initial Assessment can be conducted upon referral from a physician and must include a:
- clinical interview,
- brief psychometric screening (where appropriate) and
- a report to the IFHP indicating a treatment plan and expected duration of treatment (if applicable).
This assessment can be billed to a maximum of 2 hours. The provider should not proceed with further treatment until they get prior approval.
For more information, refer to the IFHP Supplemental Benefit Grid (PDF, 484 KB), Note 2.
Answers others found useful
- Date Modified: