Behavioral Health Provider Resources
Optima Behavioral Health (OBH) is one of Virginia's largest and most experienced behavioral health managed care organizations, with over 30 years of experience and over 4,000 providers across the state. We have customized provider networks that are carefully selected, fully credentialed, and designed to provide geographically accessible, barrier-free and clinically appropriate care.
This page provides resources that are specific to Optima Behavioral Health providers. For easy access to any additional information, you may need, please refer to Frequently Asked Questions. If you find you still need to reach us directly, please contact Provider Relations.
Provider Connection - Access Behavioral Health Provider Tools
Provider Connection is Optima Health’s suite of online, secure self-service resources for providers. As a registered user, you will have access to:
- Check Member Eligibility and Benefits
- View Claims Status and Details
- View and Download Remits and Pend Reports
To become a participating Optima Behavioral Health Provider, each licensed practitioner or organization must be credentialed by Optima Health as applicable. Please complete and return the appropriate Application Packet below to initiate the credentialing process with Optima Behavioral Health. Please review the credentialing packet in full to ensure acceptance of your application.
For licensed practitioners (in a solo or group practice), Optima Health utilizes the Council for Affordable Quality Healthcare (CAQH) application. Please ensure your CAQH application has been completed (with all supporting documentation attached) before returning the Behavioral Health Provider Application Packet to Optima Health. Access the CAQH ProView Application.
Attention: Addiction and Recovery Treatment Services (ARTS) Providers:
Please review the DMAS credentialing requirements document Pathways to Becoming an ARTS Medicaid Provider prior to applying for participation
Provider Changes and Updates
Please notify us of any changes (relocation, joining an additional practice, leaving a practice, etc.) 30 days in advance to avoid interruption or denial of authorizations or claim payments.
Coordination of Care
Billings and Claims
Download the form for requesting a behavioral health claim review for members enrolled in an Optima Health plan.