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.

6 Acute Inpatient Mental Health Treatment for Adults Standards and Guidelines Medical Necessity – In considering coverage for any level of care, all elements of Medical Necessity must be met as specifically outlined in the individual’s benefit plan documents.

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