Clinical Review Guidelines
As a practitioner or facility working with managed care patients, you are frequently asked to support the clinical approach and treatment plan you are taking with your patients. To help you
through this process more efficiently, CIGNA Behavioral Health is providing you copies of our Clinical Review Guidelines.
You can help expedite the review process with our care managers by using the applicable guidelines to decide what information will be needed. Using the appropriate guideline as a baseline will help
expedite the review process and provide us with the necessary clinical information to work most effectively with you and your patient.
Outpatient Treatment
Mental Health Intensive Outpatient
Substance Abuse Intensive Outpatient
Inpatient Initial Review
Inpatient Concurrent Review
Inpatient Discharge Review
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