Benefit Grids - Partners Behavorial Health Management

The following Benefit Plans outline service codes, service limits, level of care and documentation requirements needed for service authorization requests (SARs). They also outline requirements for unmanaged services. The following benefit plans are effective July 1, 2018.

Medicaid Benefit Plans

Medicaid Adult Mental Health/Substance Use Services Benefit Plan
Medicaid Child Mental Health/Substance Use Services Benefit Plan
Medicaid Adult and Child B3 Services Benefit Plan
Medicaid Inpatient Services Benefit Plan

State Benefit Plans

State Adult Mental Health/Substance Use Services Benefit Plan
State Child Mental Health/Substance Use Services Benefit Plan
State Intellectual and Developmental Disabilities Benefit Plan
State Inpatient Services Benefit Plan