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Clinical Resources for Behavioral Health Providers

Clinical Resources for Behavorial Health Providers

Guidelines and Policies

  • Clinical Criteria and Guidelines
    Includes ASAM Criteria, LOCUS, CALOCUS-CASII, ECSII Criteria, Medicare Criteria, State and Contract Specific Criteria, as well as Optum Behavioral Clinical Policies and Supplemental Criteria.
  • Reimbursement Policies
  • Clinical Practice Guidelines
    Guidance about evidence-based practices adopted from nationally recognized entities such as by the American Psychiatric Association, the American Academy of Child and Adolescent Psychiatry, and the American Society of Addiction Medicine.

Note: Optum policies may use CPT, HCPCS, specialty society edit standards, or other coding methodologies from time to time. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement.