Behavioral Health Clinical Resources

Commercial

Medical Necessity Guidelines

Autism, ABA, and Habilitative Therapy: MA Products
Autism, ABA, and Habilitative Therapy: RI Products
Behavioral Health Level of Care Determinations
Custodial Care: Limitation of Inpatient Behavioral Health and Substance Use Disorder Treatment Benefits
Family Stabilization Treatment
In-Home Behavioral Services (IHBS): Massachusetts Products
In-Home Therapy Services (IHTS): Massachusetts Products
MA Early Intervention Intensive Services ABA (Applied Behavioral Analysis) Therapy for Autism Spectrum Disorders
Mobile Crisis Intervention (MCI): Massachusetts Products
Nutrition Extension for Eating Disorders
Outpatient Out of Plan Continuity of Care
Outpatient Psychotherapy
Psychological Testing
Neuropsychological Testing
Substance Use Community Residence Services: RI
Targeted Case Management Services: Intensive Care Coordination (ICC): Massachusetts Products
Transcranial Magnetic Stimulation (rTMS)

Click here for Pharmacy Medical Necessity Guidelines.

Clinical Guidelines

Acute Stress Disorder and Guideline Watch (APA)
Attention Deficit/Hyperactivity Disorder (AAP)
Bipolar Disorder and Guideline Watch (APA)
Depression (APA)
A Guide for Treating Depression in the Primary Care Setting
Eating Disorders and Guideline Watch (APA)
Panic Disorder (APA)
Schizophrenia and Guideline Watch (APA)
Substance Abuse and Guideline Watch (APA)

The Parent/Professional Advocacy League (PPAL): dedicated to improving the behavioral health and well-being of children and families through education and advocacy.

Please Take Our

Behavioral Health Diversity Survey

Your answers to this survey will help us identify behavioral health practitioners who can meet preferences around languages spoken, faith, ethnicity, age, or other demographic characteristics important to the member.

Take the Survey