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picture1_Spotlight On Medical Necessity Criteria For Substance Use Disorder Treatment


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File: Spotlight On Medical Necessity Criteria For Substance Use Disorder Treatment
Spotlight on Medical Necessity Criteria for Substance Use Disorders An Analysis of Requirements for Health Plans to Use Specific Criteria and Assessment Tools to Determine Medical Necessity TABLE OF CONTENTS ...

icon picture PDF Filetype PDF | Posted on 05 Oct 2022 | 2 years ago
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...Spotlight on medical necessity criteria for substance use disorders an analysis of requirements health plans to specific and assessment tools determine table contents executive summary key findings introduction parity act nonquantitative treatment limitation nqtl disclosure the asam locadtr interqual behavioral mcg care guidelines state standards medicaid wit v united enforcement recommendations acknowledgements exhibit a plan s selection application whether patient receives recommended should reflect generally accepted condition yet suds some have used restrict control costs historically had significant discretion in selecting applying they also resisted disclosing both their explanations how apply member despite legal these practices made it difficult patients obtain affordable life saving sud challenge denials based lack this examines public private cases level when as october states require regulated commercial or california colorado connecticut delaware illinois maryland new hamps...
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