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Medical Policy and Clinical UM Guidelines

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Preventive Health Care Guidelines

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Good health begins with good lifestyle habits and regular exams. Preventive health care guidelines help providers keep members on track with necessary screenings and exams based on age and gender. We review preventive health care guidelines from nationally accepted sources and recommend the online resources listed below.  
Our recommendation of these guidelines is not an authorization, certification, explanation of benefits or a contract. Benefits and eligibility are determined in accordance with the requirements set forth by the state.   
Medical Policy Preventive Health Guidelines
United States Health and Human Services Administration for Children and Families Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)
 
Member Preventive Health Care Guidelines
Preventive Health Care Guidelines (PDF)
 
Last Update: 9/10/14 
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