Clinical practice guidelines

Use these resources to find information about specific treatment types and guidelines.

Our team of leading providers is dedicated to the delivery of quality, cost-effective health care for our Members. The following clinical practice guidelines are intended to support our health care team and serve as resources to ensure our providers have the most up to date, evidence based information recommended by nationally recognized organizations.

  • Criteria required by applicable state or federal regulatory agency
  • Milliman Care Guidelines as the primary decision support for most medical diagnoses and conditions
  • Aetna Clinical Policy Bulletins (CPBs)
  • LOCUS/CALOCUS Guidelines
  • American Society of Addiction Medicine (ASAM) Criteria

Approved by Quality Management and Utilization Management Committee: April 20, 2023