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