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Medical Policy

Behavioral Health Section

Policy Name Policy ID Number Date Modified

Applied Behavior Analysis for the Treatment of Autism Spectrum Disorders

BH18 07/01/2022
Applied Behavior Analysis Initial Assessment for the Treatment of Autism Spectrum Disorders BH33 07/01/2022

Eating Disorder Inpatient Treatment

BH25 11/01/2022

Eating Disorder Intensive Outpatient

BH26 11/01/2022

Eating Disorder Partial Hospitalization

BH27 11/01/2022

Eating Disorder Residential Treatment

BH28 11/01/2022

Intensive In-Home Family Intervention

BH34 03/01/2022

Psychiatric Inpatient Hospitalization

BH29 11/01/2022

Psychiatric Intensive Outpatient

BH30 11/01/2022

Psychiatric Partial Hospitalization

BH31 11/01/2022

Psychiatric Residential Treatment

BH32 11/01/2022
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Transcranial Magnetic Stimulation as a Treatment of Depression and Other Disorders
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Medicine, Policy No. 148
MED148 05/01/2022