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SUD Rehab Referral Cheat Sheet



(alamy.com)



Safety Assessment - NO SI/HI/Psychosis?


Most facilities don't take straight SI/HI/Psychosis unless their facility bills for MH as a primary (example MH primary & SUD secondary for that type of co-occurring


Substance Use Overview


[Substance; Route; FU/LU Date; Amount this Episode]

Heroin; IV; FU: 01/01/2010; LU: Today; 12-14 bags (may have Fentanyl bc it)



TOOLS/REFERENCES


PCPC (PA's old system prior to ASAM which is national) PPT overview- http://www.pacdaa.org/Documents/2016CMC/Presentations%20and%20Handouts/2016%20CMC%203B%20and%203C.pdf


PCPC criteria from the perspective of an insurance company- good to know language for Prior Auth's. - https://dbhids.org/wp-content/uploads/2017/12/Medically-Monitored-Residential-Treatment-_3B_.pdf


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