eQHealth Solutions’ utilization review enables the Department to determine if residential treatment services are medically necessary, reasonable and appropriate for the FSP youth based on their clinical needs. This requires a prior authorization request/approval, and if necessary a request for continued stay by the residential facility for this level of care.

SASS/FSP Coordinator - Residential Prior Authorization & Placement

If the care plan determines that residential treatment is an appropriate option, the FSP Coordinator will submit a request for prior authorization to eQHealth. You must first receive an approval letter from eQHealth to submit along with your RAP to a Residential Treatment Facility. Submit your requests for Residential Prior Authorization online using eQSuite and upload the following required documents:

Submit Residential Prior Auth Online (click here for residential prior auth and placement training guide)

1.  C
opy of Psychiatric Evaluation
      • Dated within the last 180 days 

2.    Copy of Psychological Evaluation

      • Dated within last 24 months
      • Must include IQ testing

3.    Copy of the current IATP (includes MHA and ITP);  OR the IM+CANS

NOTE: The IM+CANS can be accepted up to 180 days from the date of submission

Residential Treatment Facility - Continued Stay Request

Submit your request to eQHealth a maximum of 10 business day prior or a minimum of 3 full business days prior to the last approved day. Please submit your requests and upload the two required current documents for residential continued stay online using eQSuite.

Submit Residential Continued Stay Online Training Guides 
click here for Cont Stay review training guide
click here for submitting additional information online
click here for Quick Guide for letters online 

Remember to upload the following required documents for Continued Stays:  

1.  Copy of the current IATP (includes MHA and ITP);  OR the IM+CANS

2.  Copy of the Family Success Plan/Discharge Plan