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Clinical guidelines and policy bulletins

Guidelines

We’ve chosen certain clinical guidelines to help our providers give members high-quality, consistent care that uses services and resources effectively. These include treatment protocols for specific conditions, as well as preventive health measures. These guidelines are intended to clarify standards and expectations. They should not: 

 

  • Take precedence over your responsibility to provide treatment based on the member’s individual needs
  • Substitute as orders for treatment of a member
  • Guarantee coverage or payment for the type or level of care proposed or provided

Shared decision-making aids

Shared decision-making aids are communication tools used as a way for providers and patients to make informed health care decisions based on what is important to the patient.   They do not replace physician guidance but are intended to help complement the discussions between patients and physicians on treatment decisions. 
   

Below are evidence-based aids that provide information about treatment options, lifestyle changes, and outcomes. 

Also of interest: