These documents have been archived because they have outdated information. They are for historical information only and should not be consulted for clinical use.
Radiology archives
Guidelines for imaging modalities, including CT, MRI, MRA, PET, arterial ultrasound, and nuclear scintigraphy.
Cardiovascular archives
Guidelines for cardiovascular imaging, coronary interventions, cardiac devices, and vascular interventions.
Sleep archives
Guidelines for testing and treatment of sleep disorders, including obstructive sleep apnea.
Musculoskeletal archives
Guidelines for spine surgeries, joint surgeries, and interventional pain management.
Rehabilitation archives
Guidelines for physical therapy, occupational therapy, and speech therapy.
Genetic Testing archives
Guidelines for genetic testing, including for pharmacogenomics, prenatal diagnosis, cardiac disease, cancer susceptibility, and tumors and malignancies.
Radiation Oncology archives
Guidelines for radiation therapies, including brachytherapy, image-guided radiotherapy, intensity-modulated radiation therapy, proton beam therapy, and therapeutic radiopharmaceuticals.
CancerTreatment Pathways and Guidelines archives
Cancer treatment pathways and guidelines for common types of cancer, including breast cancer, colorectal cancer, prostate cancer, melanoma, lung cancer, and lymphoma.
Post-Acute care archives
Guidelines for inpatient rehabilitation, long-term acute care, and skilled nursing facilities.
Surgical Procedure archives
Guidelines for upper gastrointestinal endoscopy and surgical site of care.
Laboratory Services archives
Guidelines for laboratory medicine and clinical pathology tests
New and Emerging Interventions archives
Guidelines for new and emerging healthcare interventions defined as drugs, devices, tests, or procedures.
Information for Medicare beneficiaries enrolled in a Medicare Advantage plan is available in our Medicare Advantage resources guide.
Providers may email us with questions about clinical guidelines. Members requesting details about a request should contact Customer Service using the phone number on the back of their insurance card.
Requests to consider additional published clinical literature or evidence can be submitted using our Guideline Feedback form.
You can access Provider Connections, our news blog for prior authorization staff, for updates and guidance.