Clinical Resources

• ACE Clinicians
• Platinum Designation
  
• ALERT Program
• Autism/Applied Behavior Analysis
• Behavioral Health Toolkit for Medical Providers
  
• Clinical Tools and Quality Initiatives
• Complex Case Management Program
• Coordination of Care
• Cultural Competency
  
• Express Access Network
  
• Forms
• Foster Care Toolkit
• Guidelines/Policies & Manuals
  • Guidelines/Policies
    • Behavioral Clinical Policies
      
    • Best Practice Guidelines
    • Coverage Determination Guidelines
    • Credentialing Plans
    • LOCUS/CASII/ECSII
      
    • Level of Care Guidelines
    • Medicare Coverage Summaries
    • Psych/Neuropsych Testing Guidelines
    • State-Specific Criteria
      
    • Reimbursement Policies
      
  • Manuals
    • National Network Manual
    • OHBS-CA Network Manual
    • State-Specific Manuals and Addendums
    • Massachusetts ESP
    • Senior Services Resource Guide
• Intellectual and Developmental Disabilities (I/DD) Toolkit
  
• Long-Acting Injectable (LAI) Medication
  
• Links
• Live and Work Well (LAWW) Clinician Center
• Medication Assisted Treatment (MAT)
• Military and Veterans - Behavioral Health Tool Kit for Providers
• Network Notes/Newsletters
  
• OptumHealth Education
• Optum Telemental Health Platform (virtual visits)
• Prior Authorization Utilization Review Statistics
  
• Quality Assurance Toolkit for Primary Care Physicians
• Recovery & Resiliency Toolkit
• Spravato FAQs
  

Note: Optum policies may use CPT, HCPCS, specialty society edit standards, or other coding methodologies from time to time. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement.