Companion Benefit Alternatives, Inc.

Choose a Category Choose a Category Facility-Based Treatment Outpatient Medication Management Outpatient Mental Health Treatment Outpatient Substance Use Disorder Treatment Provider SC Department of Mental Health Treatment Peer to Peer Request Choose a Form Choose a Form SC Department Of Mental Health Initial Outpatient Treatment Request SC Department Of Mental Health Continued Outpatient Treatment Request

SC Department Of Mental Health Treatment

Use these forms to request precertification for all SC Department of Mental Health outpatient services.

Choose a Form

• SC Department Of Mental Health Initial Outpatient Treatment Request

  Use this form to request precertification of initial outpatient mental health services (e.g. individual or group therapy) at a SC DMH clinic.

• SC Department Of Mental Health Continued Outpatient Treatment Request

  Use this form to request precertification if the patient needs continued mental health services (e.g. individual or group therapy) after the services we approved in the initial request have been or will be used.