2017 criteria for medically necessary behavioral health treatment posted on web-DENIS

Several medical necessity criteria for behavioral health treatment have been updated, effective Jan.1, 2017. You can now access these documents on web-DENIS.

For 2017, updates have been made to the following:

• The New Directions Behavioral Health Medical Necessity Criteria. This document identifies the criteria for medically necessary psychiatric and substance abuse treatment.
• The medical necessity criteria for repetitive transcranial magnetic stimulation, also known as rTMS
• The BCBSM/New Directions Applied Behavior Analysis Medical Necessity Criteria

You can print or copy any of the above documents directly from web-DENIS. Follow these steps:

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

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