Insurance & cost

Medical necessity criteria for addiction treatment

Published November 6, 2024 · 7 min read · Updated April 2026
Reviewed for accuracy by licensed clinical professionals.

ASAM criteria assess six dimensions to determine appropriate level of care.

Six dimensions

Intoxication/withdrawal, medical conditions, emotional/behavioral, treatment acceptance, relapse potential, recovery environment.

Advocacy

Document all dimensions thoroughly when appealing denials.

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.