Outpatient Extended Care
Therapy services typically provided in an outpatient office setting. Services may include but are not limited to an initial diagnostic interview, individual, group, family psychotherapy and medication management. Individuals must meet DSM-IV criteria for a mental health or substance abuse diagnosis and their functioning level must meet the medical necessity criteria for outpatient level of care.
Neuropsychological testing evaluates patients who experienced a traumatic brain injury, brain damage, or organic neurological problems (e.g., dementia) or to evaluate the progress of a patient who has undergone treatment or rehabilitation for a neurological injury or illness.
Psychological testing is uses of one or more standardized measurements, instruments or procedures to observe or record human behavior, and requires the application of appropriate normative data for interpretation or classification. Psychological testing may guide differential diagnosis in the treatment of psychiatric disorders and disabilities. Testing may also provide an assessment of cognitive and intellectual abilities, personality and emotional characteristics, and neuropsychological functioning. The primary reason for psychological testing is to facilitate the assessment and treatment of mental health and substance abuse disorders.
Associated forms for prior authorization requests: