Evernorth uses the Child and Adolescent level of Care/Service Intensity Utilization System (CALOCUS-CASII) criteria to conduct mental health level of care medical necessity reviews for all commercial health plans in California for ages 6 to 17, unless federal or state law require the use of other specifically identified clinical criteria.

Document Title Document Type Document Size Last Updated
CALOCUS-CASII Patient, Family, and Provider Guide PDF 193kB 08/26/2022