Clinical Resources

Behavioral health guidelines

Medical necessity guidelines

• ABA Therapy for Autism Spectrum Disorders: NH Products
• Custodial Care: Limitation of Inpatient Mental Health and Substance Use Treatment Benefits
• Nutrition Extension for Eating Disorders
• Outpatient Out of Plan Continuity of Care
• Outpatient Psychotherapy
• Psychological Testing
• Neuropsychological Testing
• Transcranial Magnetic Stimulation (rTMS)
• Repetitive Transcranial Magnetic Stimulation Request Form

Click here for a list of 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)