Other Guidelines

WellCare uses nationally accepted guidelines for assessing level-of-care criteria:

• The following are utilized for Mental Health services:
  • InterQual
  • LOCUS (adults)
  • CASI-II (children & adolescents)
  • ECSII (0-5 infant MH)
• American Society for Addiction Medicine (ASAM) for substance abuse
• Clinical Coverage Guidelines (CCGs) to supplement level-of-care (LOC) criteria