23-Hour Crisis Stabilization Medicaid - Behavioral Health 33
PDF, 289 KBLast Updated: 08/01/2025
Applied Behavioral Analysis Medicaid - Behavioral Health 37
PDF, 295 KBLast Updated: 08/01/2025
ARTS Family Support Partners Medicaid - Behavioral Health 41
PDF, 332 KBLast Updated: 05/21/2025
ARTS Peer Support Services Medicaid - Behavioral Health 40
PDF, 328 KBLast Updated: 05/13/2025
ASAM Level 2.1 Intensive Outpatient Services for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 50
PDF, 294 KBLast Updated: 07/02/2025
ASAM Level 2.1 Intensive Outpatient Services for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 48
PDF, 290 KBLast Updated: 07/02/2025
ASAM Level 2.1 Intensive Outpatient Services for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 49
PDF, 296 KBLast Updated: 07/02/2025
ASAM Level 2.1 Intensive Outpatient Services for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 08
PDF, 305 KBLast Updated: 07/02/2025
ASAM Level 2.5 Partial Hospitalization Services for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 53
ASAM Level 2.5 Partial Hospitalization Services for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 51
PDF, 291 KBLast Updated: 07/02/2025
ASAM Level 2.5 Partial Hospitalization Services for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 52
PDF, 293 KBLast Updated: 07/02/2025
ASAM Level 2.5 Partial Hospitalization Services for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 09
PDF, 312 KBLast Updated: 07/02/2025
ASAM Level 3.1 Clinically Managed Low Intensity Residential Treatment for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 56
ASAM Level 3.1 Clinically Managed Low Intensity Residential Treatment for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 54
PDF, 288 KBLast Updated: 07/02/2025
ASAM Level 3.1 Clinically Managed Low Intensity Residential Treatment for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 55
PDF, 308 KBLast Updated: 07/02/2025
ASAM Level 3.1 Clinically Managed Low Intensity Residential Treatment for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 10
PDF, 279 KBLast Updated: 07/02/2025
ASAM Level 3.3 Clinically Managed Population Specific High-Intensity Residential Services for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 57
ASAM Level 3.3 Clinically Managed Population Specific High-Intensity Residential Services for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 11
PDF, 281 KBLast Updated: 07/02/2025
ASAM Level 3.5 Clinically Managed High-Intensity Residential Services for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 58
ASAM Level 3.5 Clinically Managed High-Intensity Residential Services for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 12
ASAM Level 3.5 Clinically Managed Medium-Intensity Residential Services for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 59
PDF, 319 KBLast Updated: 07/02/2025
ASAM Level 3.5 Clinically Managed Medium-Intensity Residential Services for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 13
PDF, 309 KBLast Updated: 07/02/2025
ASAM Level 3.7 Medically Monitored High Intensity Inpatient Services (Adolescent) Concurrent Medicaid - Behavioral Health 44
PDF, 321 KBLast Updated: 07/02/2025
ASAM Level 3.7 Medically Monitored High Intensity Inpatient Services (Adolescent) Initial Medicaid - Behavioral Health 42
PDF, 317 KBLast Updated: 07/02/2025
ASAM Level 3.7 Medically Monitored Intensive Inpatient Admission for Substance (Adult) Concurrent Medicaid - Behavioral Health 43
PDF, 295 KBLast Updated: 07/02/2025
ASAM Level 4.0 Medically Managed Intensive Inpatient Admission for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 47
ASAM Level 4.0 Medically Managed Intensive Inpatient Admission for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 45
PDF, 285 KBLast Updated: 07/02/2025
ASAM Level 4.0 Medically Managed Intensive Inpatient Admission for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 46
PDF, 287 KBLast Updated: 07/02/2025
ASAM Level 4.0 Medically Managed Intensive Inpatient Admission for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 07
Assertive Community Treatment (ACT) Medicaid - Behavioral Health 28
PDF, 330 KBLast Updated: 07/02/2025
Community Stabilization Medicaid - Behavioral Health 32
PDF, 337 KBLast Updated: 08/01/2025
Functional Family Therapy Medicaid - Behavioral Health 36
PDF, 331 KBLast Updated: 08/01/2025
Intensive in-Home Service for Youth Medicaid - Behavioral Health 18
Mental Health Case Management Medicaid - Behavioral Health 22
PDF, 336 KBLast Updated: 07/02/2025
Mental Health Family Support Partners Medicaid - Behavioral Health 23
PDF, 341 KBLast Updated: 07/02/2025
Mental Health Intensive Outpatient Services (MH-IOP) Medicaid - Behavioral Health 29
PDF, 318 KBLast Updated: 08/01/2025
Mental Health Partial Hospitalization Program (MH-PHP) Medicaid - Behavioral Health 30
PDF, 335 KBLast Updated: 08/01/2025
Mental Health Peer Support Services Medicaid - Behavioral Health 19
PDF, 322 KBLast Updated: 07/02/2025
Mental Health Skill-Building (MHSS) Medicaid - Behavioral Health 24
PDF, 289 KBLast Updated: 05/13/2025
Mobile Crisis Response Medicaid - Behavioral Health 31
PDF, 290 KBLast Updated: 08/01/2025
Multisystemic Therapy Medicaid - Behavioral Health 35
PDF, 326 KBLast Updated: 08/01/2025
Psychosocial Rehabilitation Medicaid - Behavioral Health 21
PDF, 264 KBLast Updated: 08/01/2025
Residential Crisis Stabilization Unit (RCSU) Medicaid - Behavioral Health 34
PDF, 316 KBLast Updated: 08/01/2025
Sensory - Weighted Vest Commercial - Behavioral Health 27
PDF, 268 KBLast Updated: 08/01/2025
Sensory - Weighted Vest Medicaid - Behavioral Health 27
PDF, 281 KBLast Updated: 08/01/2025
Sensory - Weighted Vest Medicare - Behavioral Health 27
PDF, 297 KBLast Updated: 08/01/2025
Therapeutic Day Treatment (TDT) for Youth Medicaid - Behavioral Health 20
PDF, 329 KBLast Updated: 05/13/2025