Patients will require Prior Authorization from their insurance company prior to starting TMS treatment. The TMS Collaborative will take the lead in working with you or your office in gathering these documents and managing the entire Prior Authorization process for you. We want this to be as easy for you and your patient as possible. Below you will find the most rigorous requirements for Prior Authorization by some (though not all) insurance companies.
- Diagnosis of a Major Depressive Disorder
- Documentation of 4 antidepressant trials
- Documentation of a PHQ-9 of 18 or greater
- Documentation of some form of psychotherapy
After submitting this information, we will contact you and continue to keep you up to date with your patient’s Prior Authorization, and once they begin TMS, with their clinical status.