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
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)

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