Insurance & cost

How to appeal a continued stay denial

Published November 10, 2024 · 7 min read · Updated April 2026
Reviewed for accuracy by licensed clinical professionals.

Many continued stay denials can be overturned on appeal.

Steps

Request peer-to-peer review. Continue treatment during appeal. Document ongoing clinical needs. Reference ASAM criteria and Mental Health Parity Act.

Authoritative sources

This article references guidelines from: SAMHSA · NIDA · ASAM

Frequently asked questions

How do I find help?
Call SAMHSA at 1-800-662-4357 or search our directory.
Does insurance cover this?
Most insurance covers substance abuse treatment under mental health parity.
Is treatment effective?
Yes. Treatment reduces substance use by 50-70%.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.