Concordia has adopted the Mihalik Group’s Medical Necessity Manual for Behavioral Health. The purpose of these medical necessity criteria is to guide all of Concordia’s utilization review activities. These criteria are scientifically based and were developed by a nationally recognized advisory panel. These criteria are licensed and protected by copyright laws.
If you would like to request a copy of the Mihalik Group’s Medical Necessity Manual for Behavioral Health you must request the specific level of care criteria that you would like to review. The criteria that you request should be relevant to your scope of practice and the level of care that you provide to Concordia enrollees. You may request a copy by mail, phone or by fax.
Download the request form for Mihalik Group’s Medical Necessity Manual for Behavioral Health with Specific Level of Care Criteria.
To request the copy by mail, please mail your request to the following address:
Concordia Attn: Clinical Operations
10685 North Kendall Drive,
Miami, Florida 33176.
To request a copy by phone, please call 305-514-5300.
To request a copy by fax, please send the completed request form to 305-514-5321.