All services require prior authorization unless other noted in the Medicaid and Non-medicaid benefit plans.

Service	Medicaid Funded	State Funded	Scope of Work
DHHS Behavioral Health Clinical Coverage Policies	BH Clinical Coverage Policies	State-Funded Enhanced Services
ADVP		Service Definition
Assertive Community Treatment Team	Clinical Coverage Policy 8A		Scope of Work
Behavioral Health Urgent Care (BHUC)			Scope of Work
Clinical Assessment/Medication Management	Clinical Coverage Policy 8C	Clinical Coverage Policy 8C
Community Guide - B3	Service Definition
Community Support Team	Clinical Coverage Policy 8A	Service Definition	Scope of Work
Community Transition-One-Time Transitional Costs	B3 Service Definition		Scope of Work
Criterion V (902)	Clinical Coverage Policy 8B
Day Activity		Service Definition
Developmental Day - Child Only		Service Definition
Developmental Therapy
Dialectical Behavior Therapy (DBT)		Service Definition
Enhanced Therapeutic Foster Care			Scope of Work
Evaluation and Management	Clinical Coverage Policy 8C	Clinical Coverage Policy 8C
High Fidelity Wraparound Team			Scope of Work
Intensive Alternative Family Treatment (IAFT)			Scope of Work
ICF-IDD	Clinical Coverage Policy 8E
Inpatient Hospital Psychiatric Treatment-MH	Clinical Coverage Policy 8B
Inpatient Hospitalization		Clinical Coverage Policy 8B
Intensive In-Home Services	Clinical Coverage Policy 8A		Scope of Work
Medication Assisted Treatment	Clinical Coverage Policy 1A-41
Office-Based Opioid Treatment	Clinical Coverage Policy 1A-41
Outpatient Behavioral Health Services	Clinical Coverage Policy 8C
Parent Child Interaction Therapy - PCIT	Clinical Coverage Policy 8C		Scope of Work
Personal Assistance		Service Definition
Psychological and Developmental Testing	Clinical Coverage Policy 8C	Clinical Coverage Policy 8C
Psychosocial Rehabilitation	Clinical Coverage Policy 8A
Research Based Behavioral Health Treatment for Autism Spectrum Disorder	Clinical Coverage Policy 8F
Supervised Living		Service Definition
Supported Employment - Individual	B3 Service Definition	Service Definition
Supported Employment - Group	B3 Service Definition	Service Definition
Supported Employment - Long Term		Service Definition
TF-CBT	Clinical Coverage Policy 8C
TBI Waiver
COVID-19 SERVICES
Care Support			Scope of Work
Day Treatment			Scope of Work
Psychosocial Rehabilitation			Scope of Work