Authorization requirements being removed Jan. 1, 2020 for commercial substance use disorder intensive outpatient services
Effective Jan. 1, 2020, substance use disorder intensive outpatient services will no longer require authorization or clinical review for commercial members.
Why we're making this change
We're removing the authorization requirement to improve members’ access to substance abuse intensive outpatient services to ensure they’re able to get the right care at the right time.
How services will be monitored
A clinical review process may be initiated for patients with high utilization of outpatient services. We’ll contact behavioral health providers and request clinical documentation in these cases.