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PDF fileThe ASAM Criteria describes five broad levels of care (Levels 05–4) with specific service and recommended provider requirements to meet those needs These levels of care (Levels 05–4) span a continuum of care that represent various levels of care A full list of the levels of care is provided in Figure 1 with more indepth descriptions following this section 7 6 MeeLee D ed.

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PDF fileAdult ASAM Placement Criteria Crosswalk Dimension 5 Relapse Continued Use or Continued Problem Potential Needs an understanding of or skills to change current alcohol tobacco other drug or medication use patterns and/or high risk behavior At high risk of relapse or continued use without OTP and structured therapy to promote tx progress Able to maintain abstinence or.

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PDF fileMust meet the ASAM Criteria definition (levelofcare) of medical necessity for services based on the ASAM Criteria ALAMEDA COUNTY USES TWO DOCUMENTS TO SUPPORT MEDICAL NECESSITY Initial Medical Necessity Form ALOC form The Initial Medical Necessity form (IMN) shows the included diagnosis and the criteria that support the diagnosis The SUD ALOC .

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