In the event a Sharp Health Plan member presents to your facility with a psychiatric or non-psychiatric emergency medical condition, you must notify Sharp Health Plan. We need to know that you are admitting our members for psychiatric or non-psychiatric
care; or transferring our members to the psychiatric unit of a general acute care hospital or an acute psychiatric or non-psychiatric facility that can provide the needed treatment.
Prior authorization is not required for emergency medical or psychiatric services. However, we do require prior authorization for post-stabilization care, and you must contact us prior to rendering such care.
Below is the contact information you need. These phone numbers may be accessed 24 hours a day to provide the required notification for psychiatric or non-psychiatric emergency admissions or for the required notification prior to rendering post-stabilization
care for a Plan member.
Sharp Health Plan Contact Information
Sharp Out of Network Management Department
1-858-499-2345
Magellan Behavioral Health Post Stabilization Care
1-866-512-6190
Please know that this contact information is also posted on the “Resources for Health Care Providers” page of the Department of Managed Health Care’s website at http://wpso.dmhc.ca.gov/hpsearch/postcontact.aspx.
Feel free to share this contact information with all staff members who provide the clinical care, patient registration, case management, and business office functions at your facility. We appreciate the care you provide to our members and cooperation
in facilitating timely communication and coordination of care.