Behavioral Health

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The Behavioral Health Clinical UM Guidelines can be accessed on the Clinical UM Guidelines main search page. Once the webpage displays, select the tab “By Category,” then the link BEH (Behavioral Health) to view electronic versions of Behavioral Health clinical UM guidelines. 
 

CG-BEH-01 Screening and Testing for Autism Spectrum Disorders and Rett Syndrome

CG-BEH-02 Adaptive Behavioral Treatment for Autism Spectrum Disorder

CG-BEH-03 Psychiatric Disorder Treatment

CG-BEH-04 Substance Abuse Treatment

CG-BEH-05 Eating Disorder Treatment

CG-BEH-07 Psychological Testing

CG-BEH-09 Assertive Community Treatment (ACT)

CG-BEH-10 Basic Skills Training/Social Skills Training

CG-BEH-11 Mental Health Support Services

CG-BEH-12 Psychosocial Rehabilitation Services

CG-BEH-13 Targeted Case Management (TCM)

CG-BEH-14 Intensive In-home Behavioral Health Services

 
The Behavioral Health Coverage Guidelines can be accessed on the Coverage Guidelines main search page. Once the webpage displays, select the tab “By Category,” then the link BEH (Behavioral Health) to view electronic versions of Behavioral Health medical policies.  
 

BEH.00001 Opioid Antagonists Under Heavy Sedation or General Anesthesia as a Technique of Opioid Detoxification

BEH.00002 Transcranial Magnetic Stimulation

BEH.00004 Activity Therapy for Autism Spectrum Disorders and Rett Syndrome

How Anthem Can Help  
Anthem Virginia Behavioral Healthcare has assisted members with mental health and substance abuse benefits and services for twelve years. Our case managers and customer service representatives are available to provide confidential assistance with benefit questions, locate a provider, coordinate care, and discuss your specific treatment needs. If we can assist you, contact us at (800) 991-6045.  
 
How To Find a Provider  
Providers may be a facility or program, a psychiatrist, a licensed clinical psychologist, a licensed clinical social worker, a licensed professional counselor or a clinical nurse specialist. Contact us at (800) 991-6045 for assistance with provider information or to locate a provider. Or you can search our online directory.  
 
What You Should Know About Anthem Providers  
All of the providers participating in the Anthem Virginia Behavioral Healthcare network must meet our credentialing standards. These standards include those for the National Committee for Quality Assurance (NCQA). As your health care plan, we are committed to establishing relationships with providers and working closely with them to further the quality of care for our members. We meet regularly with provider committees statewide to review treatment patterns, practice guidelines and to provide data to assist providers in making informed clinical decisions. 

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