Behavioral Health – Provider Resources

Provider Resources

Provider Manual
Provider Manual

Formulary

LifePath Systems Formulary July 2020

07.06.2020 LPS Formulary Updated

Non-TRR Services
Non Med Cvrd SRF-2018

Prior Authorization Form
Medication Prior Authorization Form Update Aug 2018

Early Refill or Greater than 30-day Supply
Early Refill or Greater than 30 Day Supply

Incident Report Form
ECI BH Incident Report Form Aug 18