To help provide our members with consistent, high-quality care that utilizes services and resources effectively, we have chosen certain clinical guidelines to help our providers. These are treatment protocols for specific conditions as well as preventive health guidelines.
These guidelines are intended to clarify standards and expectations. They should not:
- Come before the provider's responsibility to treat a member based on their needs.
- Substitute as orders for treatment of a member.
- Guarantee coverage or payment for the type or level of care proposed by a provider.
We have adopted these guidelines:
Last Updated: 2/28/2023