Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

Medical necessity criteria

We want to make sure you get the right kind of care. This means that your provider may need to get prior authorization for some medical services.

If so, your provider would give us information about the service. Moda Behavioral Health’s team of licensed clinicians would look at the information. They would consider your personal condition and decide if this is the best treatment for you. Our clinicians make these decisions according to medical necessity criteria. We created these criteria by using evidence-based standards of care.

Below are the mental health and chemical dependency services that have medical necessity criteria:

Moda Health Provider Network

Find a physician, pharmacy or clinic

Opt in for medical

Tell us you're interested and we'll be in touch with details.

Get Started  Get Started

Questions?

If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service

Questions?

If you can't find an answer, please feel free to contact our Customer Service

Employer web tools

Benefit Tracker

Check benefits and eligibility

Log in

Account help

Request an account

Provider Reports

For value-based provider programs, including Synergy, Summit, Beacon, Affinity, CPC+, and EOCCO

Log in

Join our email list


Benefit Tracker

Check benefits, eligibility, incentive and utilization

Log In

Account help

Create an account

Producer web tools


Hello.

We have exciting news to share. ODS is changing its name to Moda Health.

Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.

Together, we can be more, be better.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

Hello.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

Changing your location to Oregon

You can return to your previous location in the site header.