Welcome to the UnitedHealthcare Community Plan of Tennessee Behavioral Health Homepage. Please navigate the categories below to locate all of the information you need, organized all in one easy to navigate location. You may also use the navigation on the left to quickly find what you're looking for pretaining to non Behavioral Health resources.
UnitedHealthcare Community Plan currently utilizes the following Level of Care Guidelines (LOCGs) to conduct medical necessity reviews of requests for services as they apply to available Behavioral Health benefits.
ASAM 3rd Edition criteria are currently utilized for all Substance Abuse services. ASAM criteria are proprietary and cannot be given to providers or members unless a denial of service(s) is rendered, at which time a copy of the criteria in question can be obtained upon request.
Providers wishing to access these criteria independently may purchase them through the ASAM American Society of Addiction Medicine (American Society of Addiction Medicine- Patient Placement Criteria, 3rd Edition).