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Focuses on the criteria needed for managed care organizations (MCO) to receive approval for inpatient admissions. Tendency of MCO to scrutinize inpatient mental health treatment more intensely; Application of danger to self in very recent attempted suicide or self-harm behavior; Presence of established high-risk factors for suicide; Attempts to harm others.

Reports on the role of managed care organizations in determining whether services are medically necessary in the U.S. Likelihood of provider organizations to be reimbursed for behavioral health services to managed care patients; Requirement that clinicians note a patient's Global Assessment of Functioning score; Consideration of the endpoint of treatment to be when a patient is capable of tolerating his or her symptoms.

Reports on managed care organizations (MCO) that continue to manage behavioral healthcare for Americans, including those enrolled in Medicare, Medicaid and other publicly funded health plans. Focus on current symptoms and functional impairments in written reports; Emphasis on time-limited or brief treatment; Delineation of goals of treatment.

Looks into the necessity of managed care as a factor for revenue increase plans by behavioral health providers in the U.S. Demand seen in the use of managed care by the public; Importance of managed care organizations among the providers; Key in maximizing reimbursement; Need for the providers to understand medical necessity.

The article presents the 14 rules for chemical dependency service providers to be paid well by managed care organizations (MCO). The rules are set to help a chemical dependency service provider collect a maximized reimbursement from an MCO. This guides a provider to the right strategies that help attend to the exact needs of an MCO.

Provides information on situations that may not yield inpatient authorizations for behavioral health facilities. Court-ordered inpatient treatments; Adolescent runaways; Failure of outpatient treatment.