ASO Authorization Documents

Please submit all communications through GCBH's secure fax: (509) 460-5238

Crisis Stabilization Reference Guide 

ITA Certification Protocol

Voluntary SUD Protocol

Financial Billing and Payment Guide

Single Case Agreement - Individual (Client) Authorization Notification

Facility Implementation/Preparation for Future Single Case Agreements - For hospitals, Evaluation and Treatment, SUD Residential, and Inpatient facilites 

Additional helpful information may also be found in our Policy Library or on our Supplemental Service Guide page 

About the ASAM Criteria

Level of Care Utilization System (LOCUS) for Psychiatric and Addiction Services

LOCUS Levels of Care Descriptions

LOCUS Evaluation Parameters

Crisis Stabilization Unit (CSU) Voluntary

CSU Authorization Form

Expedited Authorization Decisions: For timeframes for authorization decisions not described in inpatient authorizations or standard authorizations, or cases in which a provider indicates, or GCBH determines, that following the timeframe for standard authorization decisions could seriously jeopardize the Individual’s life or health, or ability to attain, maintain, or regain maximum function, GCBH shall make an expedited authorization decision and provide notice as expeditiously as the Individual’s condition requires.  

 GCBH will make the decision within one (1) calendar days if the information provided is sufficient; or request additional information within 24 hours of the original date of receipt, if the information provided is not sufficient to approve or deny the request. GCBH must give the provider 24-hour calendar days to submit the requested information and then a decision must be made within 72 hours of the initial request.

 If a formal extension was requested, the timeline may be extended for an additional 10 calendar days not to exceed 13 calendar days total.

 For authorizations submitted over the weekend or holidays, GCBH will determine authorization the following business day. 

 The Contractor shall complete GCBH CSU initial authorization form and return to GCBH via GCBH secure fax line (509) 460-5238 with all relevant clinical documentation justifying medical necessity.

Crisis Relief Center (CRC)

CRC Authorization Form

The Contractor shall complete GCBH CRC Initial authorization form and return to GCBH via GCBH secure fax line (509) 460-5238 with all relevant clinical documentation justifying medical necessity, including but not limited to, reason for admission, referral source, discharge summary, and hour of admission and discharge.  

For authorizations submitted over the weekend or holidays, GCBH will determine authorization the following business day.