Transcription of LEVEL OF CARE GUIDELINES: MENTAL HEALTH CONDITIONS
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LEVEL OF CARE GUIDELINES: MENTAL HEALTH CONDITIONS
BH803 LOCGMH_022018 Page 1 of 14 LEVEL of care guidelines : MENTAL HEALTH CONDITIONS Effective February 2018 Proprietary Information of Optum. Copyright 2018 Optum, Inc. LEVEL OF care guidelines : MENTAL HEALTH CONDITIONS Guideline Number: BH803 LOCGMH_022018 Effective Date: February, 2018 Table of Contents PageINTRODUCTIONCOMMON ADMISSION CRITERIA FOR ALL LEVELS OF care COMMON CONTINUED SERVICE CRITERIA FOR ALL LEVELS OF care COMMON DISCHARGE CRITERIA FOR ALL LEVELS OF care COMMON CLINICAL BEST PRACTICES FOR ALL LEVELS OF care guidelines : OUTPATIENT guidelines : INTENSIVE-OUTPATIENT PROGRAM (IOP) guidelines : DAY TREATMENT PROGRAM guidelines : PARTIAL HOSPITAL PROGRAM (PHP) guidelines : RESIDENTIAL TREATMENT CENTER (RTC) guidelines : CRISIS STABILIZATION & ASSESSMENT guidelines : 23-HOUR OBSERVATION guidelines : INPATIENT REFERENCES HISTORY/REVISION INFORMATION INTRODUCTION The LEVEL of care guidelines is a set of objective and evidence-based behavioral HEALTH criteria used by medical necessity plans to standardize coverage determinations, promote evidence-based practices, and support members recovery, resiliency, and wellbeing1 for behavioral HEALTH benefit plans that are managed by Optum and behavioral HEALTH Plan, California (doing business as OptumHealth behavioral Solutions of California ( Optum-CA )).
The Level of Care Guidelines is a set of objective and evidence-based behavioral health criteria used by medical necessity plans to standardize coverage determinations, promote evidence-based practices, and support members’ recovery, resiliency, and wellbeing1 for behavioral health benefit plans that are managed by Optum and U.S.
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