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 & Clinical UM Guidelines page. Publish dates of the most current version 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 & Clinical UM Guidelines page. Effective dates of the most current version vary per state notification requirements.