Skip to content

Clinical Tools

I/DD Patient Support

I/DD Patient Support Overview Individuals living with an intellectual and/or developmental disability (I/DD) may require additional supports to maintain their health, increase independence and improve quality of life. This page provides medical professionals with curated materials and referral resources to support patients with I/DD and their caregivers. Many patients and families are unaware of available

KERUNIT

Investigators at the KER Unit conduct research that ultimately seeks to help patients receive the care that each one needs and that fits them. carethatfits.org/ carethatfits.org/tools/ carethatfits.org/toolkits/

Benefits

Benefits Benefit GridsPrior AuthorizationPrior Auth. Lookup ToolServices that Require Approval Benefit Grids The Benefit Grids include service codes, service limits, level of care and documentation requirements for service authorization requests. They also include requirements for unmanaged services. Behavioral Health Medicaid and State Benefit Grids (.xlsx) (enable editing to use filters) Tailored Plan Physical Health Services

Service Definitions

Service Definitions Overview Clinical coverage policies are the primary criteria Partners uses to administer benefits and determine medical necessity. Service definitions and clinical policies guide when and how services are covered for physical health, behavioral health, substance use disorders and intellectual and developmental disabilities. Contact Information For more information, or if you have questions about

CANS Training

Partners has chosen the Child and Adolescent Needs and Strengths (CANS) tool to be used by our providers and staff. Full implementation of the use of the CANS early childhood assessment tool began on May 1, 2016.

Clinical Practice Guidelines

Clinical Practice Guidelines Overview Partners Health Management adopts Clinical Practice Guidelines from the American Psychiatric Association (APA) and the American Academy of Child and Adolescent Psychiatry (AACAP). Providers are responsible for adhering to these guidelines. Adherence is monitored through: Routine reviews of service authorization requests Peer review activities Clinical Advisory Committee activities Medical record audits by

Cultural Competency

A culturally competent approach to services requires that we all examine and potentially transform each component of mental health, substance use, and intellectual and developmental disability services.

EPSDT

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Overview Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) is a federal Medicaid mandate (42 U.S.C. § 1396d(a), 1905(r) requiring that Medicaid cover, for individuals under age 21, all medically necessary services to correct or ameliorate a defect, mental or physical illness, or condition identified through screening.

Evidence-Based Practices

Evidence-Based Practices Overview

Evidence-based practices are treatments and programs proven to improve outcomes. Partners encourages our Provider Network to use these approaches so members receive the best available care.

This page covers:

  • Assertive Community Treatment Team (ACTT)
  • Dialectical Behavior Therapy (DBT)
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Family Centered Treatment (FCT)
  • High-Fidelity Wraparound (HFW)
  • Multisystemic Therapy (MST)
  • Psychosocial Rehabilitation—Clubhouse Model (PSR)
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

Contact Information

For more information, or if you have questions about Evidence-Based Practices:

Assertive Community Treatment Team (ACTT)

Assertive Community Treatment Team (ACTT)

Team-based, community-delivered care for adults with severe and persistent mental illness. ACTT serves as a single point of responsibility and offers 24/7/365 support with services provided in homes and community settings. Intended for adults with significant functional impairment and a history of crises, hospitalization, homelessness or incarceration; not intended for primary SUD, IDD, TBI or autism as the primary diagnosis.

Dialectical Behavioral Therapy (DBT)

Comprehensive cognitive-behavioral treatment for adults with borderline personality disorder and severe emotion dysregulation. DBT combines individual therapy, skills group, therapist consultation and between-session coaching. Members practice skills (e.g., diary cards) to reduce self-harm, crises and high-risk behaviors.

Eye Movement Desensitization and Reprocessing (EMDR)

Individual psychotherapy for posttraumatic stress disorder and trauma-related symptoms. Delivered by EMDR-trained clinicians, EMDR uses structured protocols and bilateral stimulation (e.g., guided eye movements) to help reprocess traumatic memories. The number of sessions varies by clinical need; adaptations exist for youth.

Family Centered Treatment (FCT)

Intensive, evidence-based, in-home therapy that strengthens safety and stability for at-risk children and adolescents and their families. FCT supports reunification, reduces out-of-home placement, and is delivered by trained professionals under certified supervision. The model is trauma-informed and individualized.

High Fidelity Wraparound (HFW)

Intensive, team-based, family-driven planning and care management for youth/young adults with complex needs who are involved in multiple systems or at risk of higher levels of care. The HFW team (facilitator, family partner, youth partner, supervisor/coach) builds a strengths-based plan, coordinates services and supports transition.

Multisystemic Therapy (MST)

Home-based, intensive treatment for youth with serious behavioral problems who are at risk of out-of-home placement or returning from placement. MST engages family and key systems (school, justice, community), typically over 3–5 months, with small caseloads and 24/7 therapist availability. MST-PSB adapts the model for problem sexual behavior.

Psychosocial Rehabilitation—Clubhouse Model (PSR)

Recovery-oriented, community program for adults with psychiatric disabilities to build skills for education, employment, daily living and social connection. Clubhouses use a work-ordered day with members and staff operating the program together. PSR is not available to individuals receiving ACTT.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

Short-term, structured therapy for children and adolescents experiencing trauma-related symptoms. TF-CBT integrates caregiver participation, skills training and a trauma narrative to reduce distress and improve functioning across home, school and community.

Updated: August 15, 2025

Evidence-based practices are interventions, treatments and programs that have proven effective in producing specific positive outcomes. These methods have been studied and are confirmed to produce positive changes in individuals.