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Resources
Long-form on behavioral health authorization defense.
Hand-written articles for VP RCM, COO, Director of UR, and Director of Admissions leaders at PHP, IOP, residential, detox, and SUD programs. Sourced from CMS, SAMHSA, ASAM, state Medicaid, and the payer policies themselves.
How do PHP and IOP programs prepare a concurrent review that holds up?
A working guide to continued-stay review for PHP and IOP — what the UM reviewer is actually checking, the evidence packet to assemble before the call, and how the major commercial payers differ in 2026.
Published May 25, 2026
LOCUS vs. ASAM vs. MCG: which medical necessity criteria do behavioral health payers actually use?
A current cross-payer map of LOCUS, ASAM 4th Edition, and MCG usage — plus what PHP and IOP programs should document to satisfy all three.
Published April 19, 2026