The ASAM Criteria®

Evernorth uses this criteria, developed by the American Society of Addiction Medicine, for guidance in conducting medical necessity reviews of substance use disorder levels of care for all health plan business, unless contractual requirements, federal or state law require use of other clinical criteria.

Document Title Document Type Document Size Last Updated
An Introduction to the ASAM Criteria® for Patients and Families PDF 195 kB 04/13/2020
The ASAM Criteria® (full guidelines) PDF 1713 kB 06/17/2021
Educational criteria training for customers (developed by ASAM) Online Resource -- 01/18/2022
Instructions to access educational criteria training for providers (developed by ASAM) PDF 113 kB 01/18/2022

Copyright 2015 by the American Society of Addiction Medicine.
Reprinted with permission. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM.