Provider Bulletin

2024

Behavioral Health and Substance Use Disorder: Nonprofit Professional Association Criteria

Under California regulatory requirements, Senate Bill 855, Molina Healthcare utilizes the following nonprofit professional association criteria for clinical review:

• Department of Veterans Affairs (DoVA) Clinical Practice Guideline for the Management of Major Depressive Disorder
  • DoVA Extract Relevant to Electroconvulsive Therapy, rTMS, Bright Light Therapy, Vagus Nerve Stimulation, and Deep Brain Stimulation
• American Psychological Association (APA) 2019 Psychological and Neuropsychological Testing
  • APA 2019 Psychological and Neuropsychological Testing Addendum
• American Society of Addiction Medicine (ASAM) Criteria 4th Edition Dimensional Admission Criteria Decision Rules
  • ASAM Criteria Patient Addendum
• World Professional Association for Transgender Health (WPATH) Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People
• American Academy of Child & Adolescent Psychiatry for training and access to the Early Childhood Service Intensity Instrument (ECSII)
• Deerfield Solutions LLC, for the American Association of Community Psychiatrists (LOCUS)
• Deerfield Solutions LLC, for the American Association of Community Psychiatrists (CALOCUS)
• Council of Autism Services Providers (CASP)

Behavioral Health Resources - Nonprofit Professional Association (NPA) Criteria

Learn more about the NPA criteria used by Molina Healthcare for all mental health and substance use clinical review. The educational materials can be accessed directly from each organization provided below. For questions or to receive a paper copy of any materials linked below at no cost, members may contact Member Services at 1 (888) 858-2150.

• CALOCUS-CASII:
  • Educational Resources
• ECSII:
  • Educational Resources
• LOCUS:
  • Educational Resources
• CASP:
  • Educational Resources
• ASAM:
  • Resources
  • Guidelines
• WPATH:
  • Resources
  • Certification
• APA:
  • Resources