Clinical Resources

• ACE Clinicians
• ALERT Program
• Autism/Applied Behavior Analysis
• Behavioral Health Toolkit for Medical Providers
  
• Clinical and Quality Measures Toolkit for Behavioral Providers
• Complex Case Management Program
• Coordination of Care
• Cultural Competency
  
• Eating Disorder Recovery Record App
• Express Access Network
  
• Forms
• Foster Care Toolkit
• Guidelines/Policies & Manuals
  • Guidelines/Policies
    • ASAM Criteria
      
    • Behavioral Clinical Policies
      
    • Clinical Practice Guidelines
    • Credentialing Plans
    • LOCUS, CALOCUS-CASII, ECSII
      
    • Clinical Criteria
    • 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 Newsletters
  
• OptumHealth Education
• Optum Telemental Health Platform (virtual visits)
• Platinum Recognition
• Prior Authorization Utilization Review Statistics
  
• Quality Assurance Toolkit for Primary Care Physicians
• Recovery & Resiliency Toolkit
• Spravato FAQs
  
• Spravato FAQs – Harvard Pilgrim Specific

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.