You want to recommend the best treatment option for your patients. There are several tools that can help.
Aetna’s Level of Care Assessment Tool (LOCATSM) helps behavioral health professionals determine the levels and types of care that are medically necessary for patients with mental health conditions.
The Applied Behavioral Analysis (ABA) Guidelines for the Treatment of Autism Spectrum Disorders are nationally recognized guidelines. They help clinicians decide appropriate levels and types of services that are medically necessary for a patient. These ABA guidelines can help you with the coverage determination process.
The American Society of Addiction Medicine (ASAM) has a new edition of its criteria. Addiction specialists use these criteria to help them choose treatment options. The criteria also help patients and their families better understand treatment options.