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 Partial Hospitalization

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 After School

Therapeutic Emotional Support Classroom

Therapeutic Preschool

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

Crisis Residence

Electroconvulsive Therapy _ECT

Extended Acute Care _EAC

Halfway House _2B

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

Residential Treatment Facility for Adults _RTFA

Sub-acute Psychiatric Inpatient Treatment