Behavioral Health Clinical Resources
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 Out of Plan Coverage of Behavioral Health/Substance Use Disorder Coverage Guidelines
- Outpatient Psychotherapy
- Psychological Testing
- Neuropsychological Testing
- Transcranial Magnetic Stimulation (rTMS)
- Transcranial Magnetic Stimulation (rTMS) Prior Authorization Form
- Urgent Behavioral Health Care Outside the Service Area
- VNA Home Care Criteria for Behavioral Health/Substance Use Disorder Services
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)
