Behavioral Health Guidelines
Equipping your care management staff with the evidence-based Behavioral Health Guidelines can help you bring management of this area back "in-house" and work toward meeting mental health parity requirements. Manage specific psychological, behavioral and pharmacologic therapies for behavioral healthcare challenges at five levels of care across 15 diagnosis groups. Make this product your resource for more consistent, objective behavioral healthcare decisions with:
- Clinical indications and alternatives for admission Identify the most effective level of care for specific behavioral diagnoses.
- Detailed discharge criteria Focus on specific care elements to consider in discharging a patient to an effective lower level of care.
- Partial hospital care planning Detailed plans for moving patients to less intensive, but still effective care levels.
- Flexible recovery courses To manage longer care episodes in behavioral health, recovery courses are listed in care days for inpatient or stages for outpatient treatments.
- Alternative care planning Select effective alternative therapies and levels of care based on patient specifics.
Download the Behavioral Health Guidelines brochure
Important Information About the Milliman Care Guidelines®: The Care Guidelines® can be used by qualified healthcare professionals as a tool in making medical necessity decisions, but they should not be used as the sole basis for denying treatment or payment. The Care Guidelines® must be applied to the individual patient on a case-by-case basis and always in the context of a qualified, healthcare professional's clinical judgment.
Please note that this site provides options for training only.
To receive a production demonstration, please contact your Account Manager.
To learn more:
Call 888-464-4746