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Clinical Coverage Guidelines
We have a great new search tool that allows providers to search evidence-based guidelines detailing the medical necessity of procedures or technologies. Note: Please check the Position Statement in each CCG to determine coverage determination for your state/market.

Clinical Practice Guidelines
Best-practice recommendations based on available clinical outcome and scientific evidence.

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Last Updated On: 1/21/2016
The Governor has declared a State of Emergency in Los Angeles County, due to the ongoing wild fires. If you are an affected member and need access to medical or pharmacy services, please call Member Services at 1-866-999-3945 for assistance. ×