MMC Benefits Handbook
Mental Health/Substance Use
  • Services performed in connection with conditions not classified in the current edition of the Diagnostic and Statistical Manual of the American Psychiatric Association
The Plan's preauthorization review service may consult with professional clinical consultants, peer review committees or other appropriate sources for recommendations and information regarding whether a service or supply meets criteria:
  • Preventive counseling provided in connection with tobacco dependency in excess of 8 visits per 12 months