Managed Care Providers
The ASAM criteria provides one common language for assessing patient need and describes the continuum of addiction care treatment settings. With the ASAM criteria, manage care organizations can easily work with treatment providers to ensure plan participants are receiving the treatment that best fits their needs and that resources are wisely used.
Did you know ASAM has convened managed care organizations, payers and providers to help create the criteria since the very first edition in 1991? It’s true – the ASAM criteria is the result of a collaboration that began in the 1980s to define one national set of criteria for providing outcome-orientated and results-based care in the treatment of addiction. Today the criteria have become the most widely used and comprehensive set of guidelines for assessment, services planning, placement, continued stay and transfer/discharge of patients with addiction and co-occurring conditions. The ASAM criteria are required in over 30 states. There are currently more than 10 managed care organizations that license an electronic version of the criteria, and these companies represent more than 45,000,000 covered lives.
Oversight of ASAM’s criteria to this day is still a collaborative process between ASAM’s leadership and stakeholders in the addiction treatment field to ensure that criteria continue to serve and support the diverse needs of medical professionals, employers, purchasers and providers of care in both the public and private sectors.