Clinical Guidelines
Our philosophy is to promote the delivery of quality, behavioral health care to our members. In support of this philosophy, we adopt, develop, and distribute clinical guidelines and Medical Necessity Criteria that are based on
- sound scientific evidence
- clinical best practices
- and serve the needs of our members.
Our policy is to offer our network providers relevant clinical practice guidelines to assist them in delivering quality care. The clinical practice guidelines that we endorse or develop are consistent with current scientific evidence of sound and best practices.
Similarly, our Medical Necessity Criteria are reviewed and updated on an annual basis so that we can take advantage of the latest developments in the field of behavioral health. We welcome input from our providers and consider all feedback in future updates of our Medical Necessity Criteria.