Clinical Criteria Check Sheets are used by Partners’ Utilization Management department to approve service authorization requests. The criteria in these documents determines medical necessity. Check sheets are available for all services.

Some of the documents are in Microsoft Word format. When opening these documents, a box may appear asking you to enter your credentials. Simply close the box by clicking on the x in the corner and the document will appear.

Checksheets are organized below by service funding type:

Intellectual and Developmental Disabilities Services

Mental Health and Substance Use Services