CignaMedium ImpactAdministrative
Adoption of LOCUS and CALOCUS-CASII criteria in Colorado
Published April 13, 2026Effective April 11, 2026
AI Summary
Effective April 11, 2026, Evernorth Behavioral Health will adopt LOCUS criteria for patients 19+ and CALOCUS-CASII criteria for patients 6-18 when conducting mental health level-of-care medical necessity reviews in Colorado. This replaces previous criteria but does not change the medical necessity review process itself.
Action Required
By April 11, 2026: Mental health providers in Colorado should familiarize themselves with LOCUS and CALOCUS-CASII criteria available on Provider.Evernorth.com under Supporting Behavioral Websites. Update clinical documentation to align with these new evidence-based criteria when submitting level-of-care requests for mental health services.
Plan Types
Commercial
States
CO
Specialties
psychiatry