LOCUS Criteria
Evernorth uses the Level of Care Utilization System (LOCUS) criteria to conduct mental health level of care medical necessity reviews for all commercial health plans in California for ages 18+, unless federal or state law require the use of other specifically identified clinical criteria.
| Document Title | Document Type | Document Size | Last Updated |
|---|---|---|---|
| LOCUS Family and Provider Guide | 184kB | 08/26/2022 | |
| LOCUS Levels Care Handout AACP | 372kB | 08/26/2022 | |
| LOCUS Evaluation Parameters Handout AACP | 364kB | 08/26/2022 | |
| Instructions to access educational criteria training for providers and customers for LOCUS (developed by AACP) | 140kB | 03/05/2024 |