Clinical Criteria

Below are the most current clinical criteria issued by the Division of Children's System of Care (CSOC) and utilized by PerformCare. As clinical criteria are reviewed and updated, the most current versions are posted here.

• Behavioral assistance (BA) (PDF).
• Care management organization (CMO) high (PDF).
• Care management organization (CMO) moderate (PDF).
• Family functional therapy (FFT) (PDF).
• Group home (GH) (PDF).
• Individual support services (ISS) (PDF).
• Intellectual/developmental disability group home - Level 1 (IDD GH-1) (PDF).
• Intellectual/developmental disabilities high level group home (GH Level 2-I/DD) (PDF).
• Intensive in-community (IIC) services (PDF).
• Intensive in-home (IIH) services (PDF).
• Intensive residential treatment services (IRTS) (PDF).
• Intermediate inpatient unit (PDF).
• Mobile Response Stabilization Services (MRSS) - (up to 8 weeks) (PDF).
• Mobile Response Stabilization Services (MRSS) - (initial 72 hours) (PDF).
• Multisystemic therapy (MST) (PDF).
• Outpatient services (PDF).
• Partial care services (PDF).
• Partial hospitalization services (PDF).
• Psychiatric community home (PDF).
• Residential treatment center (RTC) (PDF).
• Residential treatment center - behavioral health/developmental disabilities (RTC-BH/DD) (PDF).
• Residential treatment center - behavioral health/substance use RTC-BH/SU (PDF).
• Special skills home for I/DD - Level 1 (PDF).
• Special skills home for I/DD - Level 2 (PDF).
• Specialty residential services (SPEC) (PDF).
• Treatment homes (TH) (PDF).

Service criteria

• Interpreter Services for Youth (PDF).
• Non-Medical Transportation (PDF).