Historical Medical Policies and Clinical UM Guidelines
Historical Medical Policies
Medical policies contained within this page are historical and not the most current versions. Current medical policy content may be accessed from the Medical Policies and Clinical Utilization Management (UM) Guidelines page.
Implementation dates of the most current versions vary per state notification requirements.
Historical Clinical UM Guidelines
Clinical UM guidelines contained within this page are historical and not the most current versions. Current clinical UM guideline content may be accessed from the Medical Policies and Clinical Utilization Management (UM) Guidelines page.
Implementation dates of the most current versions vary per state notification requirements.