All Behavioral Health services are authorized based on Medical Necessity Criteria that is established by the Department of Human Services (DHS) and Office of Mental Health and Substance Abuse Services (OMHSAS).

The following is the link to the Medical Necessity Criteria that apply to the various levels of care offered through the HealthChoices Program. The Medical Necessity Criteria is located in Appendix T of the HealthChoices Program Standards and Requirements:

Medical Necessity Guidelines