Substance Use Disorder
Trillium Community Health Plan follows American Society of Addiction Medicine (ASAM) criteria and other nationally recognized assessment and placement tools, such as InterQual, to guide evidence-based clinical decisions.
We use these tools to carefully review clinical documentation submitted by providers to support the review process and to ensure members receive the most appropriate care based on their strengths and presenting needs.
The information below is intended as a guide for preparing the required documentation for services requiring prior authorization. While not all the information will be relevant to all services, providers are encouraged to focus on those elements which are applicable to the service being requested.
ASAM Core Purpose
The ASAM criteria provide a structured, multidimensional assessment to match each individual to the least intensive, safe, and effective level of care, ensuring treatment is person-centered, needs-based, individualized, and responsive acorss continuum.
