CBH Utilization Management Guide
Utilization Management Guide
Here providers can access program descriptions and medical necessity criteria (MNC) for CBH-funded services. The MNC for each service are based on HealthChoices Appendix T, Pennsylvania Client Placement Criteria (PCPC), American Society of Addiction Medicine (ASAM), or OMHSAS-approved criteria as indicated.
CHILD
Acute Psychiatric Inpatient Hospitalization
Adolescent Drug and Alcohol Residential Rehabilitation
Afterschool for Children with Autism Spectrum Disorder. docx
Applied Behavior Analysis- Behavioral Health Rehabilitative Services
Behavioral Health Rehabilitative Services (BHRS)
Children’s Interim Response Team
Clinical Transition and Stabilization Services _CTSS_
Community Residential Rehabiliation-Host Home CRR-Host Home
Family-Based Mental Health Services _FBS
Functional Family Therapy _FFT
Multi Systemic Therapy-Problem Sexual Behavior
Residential Treatment Facility _RTF
School Therapeutic Services _STS
Summer Therapeutic Activities Program _STAP_
Therapeutic Emotional Support Classroom
Youth Certified Peer Specialist _CPS
ADULT
23-Hour Crisis Stabilization _23-Hour Bed
Acute Partial Hospitalization Program
Acute Psychiatric Inpatient Hospitalization
Addictions Partial Hospitalization _2A
Adult Certified Peer Specialist _CPS
Co-occurring Medically Monitored Long-term Intensive Treatment Program _3C
Electroconvulsive Therapy _ECT
Long-Term Structured Residences
Medically Managed Residential Treatment _4B
Medically Managed Stabilization _4A
Medically Monitored Inpatient Stabilization _3A
Medically Monitored Residential Treatment _3B
Mobile Psychiatric Rehabilitation Services _MPRS
Residential Independent Non-hospital Treatment for Adults _RINT