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CIGNA STANDARDS AND GUIDELINES/MEDICAL …

CIGNA STANDARDS AND GUIDELINES/MEDICAL NECESSITY CRITERIA For Treatment of Mental Health and Substance Use Disorders Revised Edition: January 2019 GUIDELINES/MEDICAL Revised Edition : 1 Table of Contents Foreword .. 2 Core Principles .. 3 Mental Health .. 5 Acute Inpatient Mental Health Treatment for Adults .. 6 Residential Mental Health Treatment for Adults .. 9 Partial Hospital Mental Health Treatment for Adults .. 14 Intensive Outpatient Mental Health Treatment for Adults .. 19 Mental Health Treatment for Children and Adolescents .. 23 Acute Inpatient Mental Health Treatment for Children and Adolescents .. 24 Residential Mental Health Treatment for Children and Adolescents .. 27 Partial Hospital Mental Health Treatment for Children and Adolescents .. 33 Intensive Outpatient Mental Health Treatment for Children and Adolescents.

Cigna begins with evidence-based guidelines as the basic platform to define established standards of effective care. Scientific evidence is the vital element in the development of an informed decision-making process for patients and their clinicians.

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