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Utilization > General

 
 

MH/DD/SA Service Definitions - PDF
Checklist for Providers - PDF
Memo to Providers - PDF
Accessing Services - PDF
Treatment Request Form - PDF
Memo to Outpatient Providers Regarding Service Authorization Requests - PDF
AC LME Benefit Package - PDF
Clinical Coverage Policy 8A - Enhanced Mental Health and Substance Abuse Services - PDF
Clinical Coverage Policy 8B - Inpatient Behavioral Health Services - PDF
Clinical Coverage Policy 8C - Outpatient Behavioral Health Services - PDF
Clinical Coverage Policy 8D-2 - Residential Child Care Treatment Services (Levels I through IV) - PDF
Array of Services 2009-2010 - PDF
Standardized Consumer STR Interview and Registration Form - PDF
Routine Authorization Flow Chart - PDF
Urgent Authorization Flow Chart - PDF

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ACLME Mission Statement: "To assist individuals and families affected by mental illness, developmental disabilities,
or substance abuse to develop their maximum potential for growth and maturity in dealing with everyday life."