Policies and Notices

PerformCare policies and procedures

PerformCare policies posted to this website are updated annually. It is possible a more current version of a policy is available. Please contact your Account Representative or Care Manager for such policy inquiries.

CM-007: Service Denial Behavioral Health Inpatient Services (PDF)

CM-009: Use of IQ and Adaptive Functioning Testing to Diagnose Mental Retardation (PDF)

CM-011: Clinical Care Management Decision Making (PDF)

CM-012: Authorization of Psychological and Neuropsychological Testing (PDF)

CM-013: Denial Notice Procedure (PDF)

CM-019: Bed Hold Payment and Therapeutic Leaves (PDF)

CM-020: Provider Notification to PerformCare of Inpatient Stays When Member Has Other Primary Insurance (PDF)

CM-028: Authorization Requests for Preauthorized Drug and Alcohol Services (PDF)

CM-029: Authorization Requests for Drug and Alcohol Hospital and Non-Hospital-Based Detoxifications (PDF)

CM-034: Emergency Services Coverage Reimbursement (PDF)

CM-036: Mental Health/Substance Abuse Targeted Case Management Initial and Reauthorization Requests and Discharges (PDF)

CM-037: Mental Health/Substance Abuse Targeted Case Management Reimbursable and Non-Reimbursable Services (PDF)

CM-039: Targeted Case Management Contact Expectations (PDF)

CM-040: Targeted Case Management Role Expectations (PDF)

CM-042: Continued Stay Review Process (PDF)

CM-043: Authorization Requests for Preauthorized Mental Health Services (PDF)

CM-045: Prior Authorization Requests for Electroconvulsive Therapy (ECT) (PDF)

CM-046: Psychiatric Rehabilitation (PDF)

CM-047: Authorization and Delivery of Music Therapy Services (PDF)

CM-053: Request for ACT/CTT Services P&P (PDF)

CM-CAS-042: Initial and Re-Authorization Requirements for Individual IBHS and ABA Services (PDF)

CM-CAS-043: Initial and Re-Authorization Requirements for IBHS Group, Evidence-Based Practice and Other Services (PDF)

CM-CAS-044: Procedure to Request Additional Service Units During an Authorization Period and Extension Requests for Family-Based Mental Health Services (FBMH (PDF)S)

CM-CAS-047: Pre-Discharge Planning Meeting Requirements for Residential Treatment Facility (RTF) (PDF)

CM-CAS-048: Pre-Discharge Planning Meeting Requirements for Community Residential Rehabilitation (PDF)

CM-CAS-050: Community Rehabilitation Host Home (CRR-HH) November 15, 2017 (PDF)

CM-CAS-051: Procedure for Prior Authorization and Extension Requests for Family-Based Mental Health Services (FBMHS) (PDF)

CM-CAS-053:  Initial and Re-Authorization Requirements for CRR-HH and CRR-HH-ITP (PDF)

CM-CAS-054: Initial and Re-Authorization Requirements for RTF (PDF)

CM-CAS-055: Best Practice Evaluations and Continued Care Evaluation Requirements (PDF)

CM-CAS-056: Children's Services Team Meeting and ISPT Planning (PDF)

CM-CAS-057: Children's Service Provider Transfer Process (PDF)

CM-CAS-058: Initial Requirements for Individual IBHS Concurrent With CRR-RTF (PDF)

CM-CAS-059: Behavioral Health Technician Skills Training and Development (PDF)

CM-CAS-060: Initial IBHS Service Capacity Monitoring (PDF)

CM-CAS-061: School, Day Care, and Other Community Input Into IBHS Request Process (PDF)

CM-CAS-062: Adding or Increasing IBHS During a Current Authorization Time Frame (PDF)

CM-MS-003: Outpatient Treatment Requests, Denials, and Authorizations (PDF)

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