Asam justification sheet

The ASAM Criteria continues to encourage moving away from treatment based on diagnosis alone (i.e., seeing a diagnosis as a sufficient justification for entering a certain modality or intensity of treatment) toward treatment that is holistic and able to address multiple needs. A diversity of clinical

Unless mandated by regulation or contract, Beacon utilizes the American Society of Addiction Medicine (ASAM) criteria for the management of all substance use services Medical Necessity National Criteria Set rev 100515 Page 2 of 32

he ASAM Criteria . is a collection of objective guidelines that give clinicians a way to standardize treatment planning and where patients are placed in treatment, as well as how to provide continuing, integrated care and ongoing service planning. he criteria were developed by the American Society of Addiction Medicine (ASAM), American Society of Addiction Medicine is the Nation’s leading addiction medicine society representing physicians, clinicians and other professionals. ASAM Placement Criteria Policy: All clients will be placed in level of care using the American Society of Addiciton Medicine Patient Placement criteria. Procedure: 1. All charts must contain an ASAM Justification Sheet (adult and adolescent examples attached). 2. All residential referrals must be accompanied by an ASAM Justification Sheet. 3. Documentation of Substance Use Disorders: Progress Notes Progress notes can sometimes be viewed as busy work, not central to the client’s progress, or only necessary to fulfill administrative requirements. This can be an issue when caseloads are demanding and face-to-face contact seems more important and/or satisfying. However,

treatment plan/ASAM LOC Recommendation Form to Optum N/A • Updated Treatment Plan #2 • ASAM Level of Care Recommendation • Optum Fax Cover Sheet Within 30 days from client/counselor signature on Updated Treatment Plan #1 (No later than day 70). If requesting extension-Submit documentation to Optum by day 80. • For Adolescent programs ... services. With current medication protocols, ASAM notes that all but the most severe withdrawal syndromes can be managed effectively on an ambulatory basis. Description and Levels of Intensity The ASAM criteria describe five levels of withdrawal management, with a range of intensities of service. Making Patient Placement Decisions & Writing Clinical Justifications Using ASAM Patient Placement Criteria . A Two Day Workshop . Research on the evidence based practice of making patient placement decisions, also known as choosing a level of care, and matching clients to treatment indicates