Intensive Behavioral Interventions - Cigna

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Medical Coverage Policy Effective Date ........................................ ....12/15/2019. Next Review Coverage Policy Number .................................. 0499. Intensive Behavioral Interventions Table of Contents Related Coverage Resources Overview ........................................ ...................... 1 Attention-Deficit/Hyperactivity Disorder (ADHD): Coverage Assessment and Treatment General Background ........................................ ....3 Autism Spectrum Disorders/Pervasive Developmental Coding/Billing Information ..................................10 Disorders: Assessment and Treatment References ........................................ ................11. INSTRUCTIONS FOR USE. The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations.

Diagnostic and Statistical Manual of Mental Dis orders, Fifth Edition (DSM-5) A. Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, no exhaustive; see text of DSM-5) 1.

  Interventions, Behavioral, Order, Intensive, Intensive behavioral interventions