These documents have been archived because they have outdated information.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 available here.
Providers may email us for any questions about guidelines. (For members requesting details on a request, please reach out to the customer service number on the back of the insurance card).
Requests to consider additional published clinical literature or evidence can be submitted here.
You can access Provider Connections, our news blog for prior authorization staff here.