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)

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