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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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