Behavioral Health Clinical UM Guidelines

PW_A124664 For Benefits and Eligibility
Please refer to the customer service phone number on the back of the member’s ID card.  
 
Behavioral Health Provider Materials  
The Behavioral Health Clinical UM Guidelines can be accessed on the Clinical UM Guidelines main search page. Once the webpage displays, select the tab “By Category,” then the link BEH (Behavioral Health) to view electronic versions of Behavioral Health clinical UM guidelines. 
 

CG-BEH-01 Screening and Testing for Autism Spectrum Disorders and Rett Syndrome

CG-BEH-02 Adaptive Behavioral Treatment for Autism Spectrum Disorder

CG-BEH-03 Psychiatric Disorder Treatment

CG-BEH-04 Substance-Related and Addictive Disorder Treatment

CG-BEH-05 Eating and Feeding Disorder Treatment

CG-BEH-07 Psychological Testing

CG-BEH-09 Assertive Community Treatment

CG-BEH-10 Basic Skills Training/Social Skills Training

CG-BEH-11 Mental Health Support Services

CG-BEH-12 Psychosocial Rehabilitation Services

CG-BEH-13 Targeted Case Management

CG-BEH-14 Intensive In-home Behavioral Health Services

 
The Behavioral Health Medical Policies can be accessed on the Medical Policies main search page. Once the webpage displays, select the tab “By Category,” then the link BEH (Behavioral Health) to view electronic versions of Behavioral Health medical policies. 

BEH.00001 Opioid Antagonists Under Heavy Sedation or General Anesthesia as a Technique of Opioid Detoxification

BEH.00002 Transcranial Magnetic Stimulation

BEH.00004 Activity Therapy for Autism Spectrum Disorders and Rett Syndrome

 
Clinical Practice Guidelines
 
 
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