Clinical Resources for Behavioral Health Providers
Guidelines and Policies
- Clinical Criteria and Guidelines
Includes ASAM Criteria, LOCUS, CALOCUS-CASII, ECSII Criteria, Medicare Criteria, State and Contract Specific Criteria, as well as Optum Behavioral Clinical Policies and Supplemental Criteria. - Reimbursement Policies
- Clinical Practice Guidelines
Guidance about evidence-based practices adopted from nationally recognized entities such as by the American Psychiatric Association, the American Academy of Child and Adolescent Psychiatry, and the American Society of Addiction Medicine.
Behavorial Health Toolkits
- Behavioral Health Toolkit for Medical Providers
- Clinical and Quality Measures Toolkit for Behavioral Providers
- Eating Disorder Recovery Record App
- Foster Care Toolkit
- Intellectual and Developmental Disabilities (I/DD) Toolkit
- Military and Veterans - Behavioral Health Tool Kit for Providers
- Recovery & Resiliency Toolkit
Provider Training Materials
Network Provider Manuals
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.