Behavioral Health Overview
Asuris Behavioral Health provides online tools for efficient communication from your office to ours.
Behavioral Health Forms
Use these common forms to facilitate your patient information needs.
- Zung Self-Rating Depression Scale
- Alcohol Use Disorders Identification Test
- Behavioral Health Treatment Plan Request
- Authorization to Disclose Protected Health Information
Mental Health and Chemical Dependency Pre-authorization
Contact information, important reminders and detailed updates for all lines of business.
- Pharmacy
- Medicare Products
- Federal Employee Program
- Group and Individual Products
- Pre-authorization Request Form
- Pre-authorization Information Form
Clinical Practice Guidelines
The Mental Health and Chemical Dependency Treatment practice guidelines describe generally accepted practices and were developed by nationally recognized organizations.
- Mental Health and Chemical Dependency Treatment
- Guideline Adoption and Recommended Use
- Benefit Determination
Behavioral Health Policy Manual
Asuris-approved policies that are developed using evidence-based treatment guidelines as well as clinical best practices and standards of care.
Utilization Management Requirements
Asuris conducts utilization management based on Type
of Service requirements. Facilities and programs
must notify our Behavioral Health staff of the following
admissions:
| Type of Service |
Notification Upon Admission Required
Ph: 1 (800) 780-7881 |
Services Reviewed |
Inpatient mental health |
Yes |
Before day 3 |
Residential mental health |
Yes |
Before day 3 |
Partial hospitalization mental
health |
Yes |
Before day 3 |
Intensive outpatient mental
health |
No |
Before visit 21* |
Outpatient mental health |
No |
Before visit 21* |
Detoxification |
Yes |
Before day 3 |
Inpatient chemical dependency |
Yes |
Before day 3 |
Residential chemical dependency |
Yes |
Before day 3 |
Partial hospitalization chemical
dependency |
Yes |
Before day 3 |
Intensive outpatient chemical
dependency |
Yes |
After 8 weeks |
Outpatient chemical dependency |
No |
Before visit 21* |
*Outpatient and mental health intensive outpatient
services are reviewed when combined services for a
member exceed 20 visits per plan year. Therefore, if
a member is receiving treatment from more than one
mental health professional, each of those professionals
will need to submit a treatment plan prior to the member’s
21st cumulative visit.
Contact Us if you have any questions or need additional resources.
Revised June 4, 2010
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