Revised Behavioral Health Utilization Management Criteria

A revised version of our psychiatric utilization management criteria was implemented November 1, 2003. To order a copy, call 1-800-828-6565. Please look for the following enhancements in the new criteria:

• Clearer differentiation between all psychiatric levels of care in terms of program characteristics/rendered services and severity of illness/medical necessity.
• Criteria for Eating Disorders now exists as a separate criteria set, which was reviewed and approved by the Behavioral Health Peer Review Committee and other community practitioners.