ASAM 4th Edition Criteria Software
Built Inside Kipu EMR
Stop writing ASAM Service Request Forms by hand. CriteriaIQ reads your Kipu patient chart and completes all 12 ASAM subdimensional risk ratings, calculates ASAM 3.7 and 3.5 authorization probabilities, writes individualized dimensional treatment plans, and generates phone review scripts — in under 60 seconds.
Every subdimension. Every rating. Every time.
CriteriaIQ scores all 12 ASAM subdimensions from the patient's live Kipu chart — CIWA-Ar, COWS, PHQ-9, GAD-7, BAM-R, clinical notes, and assessments all factored in.
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Not a guess. A documented score with an explicit rubric.
ASAM authorization probability is calculated from a point-by-point rubric that maps directly to risk ratings — the same ratings insurance medical directors use when reviewing concurrent authorizations.
Every point is documented in the output. A UR nurse can explain every score in a peer-to-peer review call.
ASAM Continued Service Request Forms too
CriteriaIQ handles both initial ASAM Service Request Forms and ASAM Continued Service Request Forms for concurrent/continued stay reviews — across all three levels of care.
Concurrent reviews pull clinical data from the past 7 days — progress notes, nursing notes, medical notes, case management notes, and doctor orders — sorted most recent first.
Trajectory is scored as improving, plateauing, or regressing, with points added to the auth probability based on documented clinical evidence of current status vs. admission.
Specific discharge barriers from case management notes are extracted and listed — housing, outpatient placement, medication titration, legal holds — justifying continued medical necessity.
Outpatient levels get their own dedicated buttons
PHP and IOP authorization is not a scaled-down version of residential documentation. CriteriaIQ applies the correct ASAM 4th Edition criteria for each outpatient level — with the right justification logic for each.
PHP authorization requires documenting why the patient needs daily structured treatment but does NOT require 24-hour residential care. CriteriaIQ documents both sides — why residential is not needed AND why IOP is insufficient.
IOP authorization requires justifying why standard outpatient (1.0) is insufficient — not just that the patient needs treatment. CriteriaIQ documents frequency of care needed, PAWS contribution, and the IOP schedule.
Medications, CIWA/COWS, and PAWS — automatically
Every ASAM analysis performs a full-chart scan before calling the AI. No score or medication gets missed because it was on a different tab.
Medical tab, Med Log, Doctor Orders, and recent clinical notes — all scraped and deduplicated simultaneously. Up to 25 current medications with dosages, routes, and frequencies cited in every subdimension justification.
Latest CIWA-Ar and COWS scores extracted from clinical documents and fed directly into Dimension 1 risk ratings. Severity interpretation applied automatically: CIWA ≥20 = Severe (supports residential); CIWA 6-9 = Mild (may support PHP).
Post-Acute Withdrawal Syndrome scanned across all progress notes, nursing notes, and psychiatry notes. Named PAWS and symptom clusters (insomnia, cognitive fog, irritability, cravings) both detected and cited as PHP/IOP continued-stay justification indicators.
ASAM software questions
Complete your next ASAM form in 60 seconds
Open a Kipu chart, click Analyze, review your auth probability. 14-day free trial.