2018 criteria for medically necessary behavioral health treatment available on web-DENIS

Several medical necessity criteria for behavioral health treatment have been updated and became effective on Jan. 1, 2018. You can access these documents on web-DENIS.

For 2018, updates have been made to the following documents:

• The New Directions Behavioral Health Medical Necessity Criteria. This document identifies the criteria for medically necessary psychiatric and substance abuse treatment.

• The BCBSM/New Directions Applied Behavior Analysis Medical Necessity Criteria

• The medical necessity criteria for repetitive transcranial magnetic stimulation, also known as rTMS

You can print any of the above documents directly from web-DENIS by following these steps:

1. Log in to web-DENIS.
2. In the left-hand navigation, click on BCBSM Provider Publications and Resources.
3. Click on Newsletters and Resources.
4. Under Other Resources, click on Clinical Criteria & Resources.
5. Scroll down to the Current Behavioral Health Clinical Criteria section of the page and click on the document you wish to print.

If you have any questions, call Behavioral Health Services in the Ancillary Program Management department at 313-448-7745.