As a reminder, Point32Health maintains a number of clinical practice guidelines, which you can find in the Clinical Practice Guidelines section of our provider website. These guidelines include information about treatments, medications, and technology that reflects best practices.
They are not intended to replace a provider’s clinical judgement but serve as a resource to support it. It is also important to note that these guidelines are separate and independent from coverage criteria, which vary by product and may differ from these guidelines. In order to determine whether a treatment or services is covered under a particular plan, please review the coverage criteria specific to that plan.
Additionally, network providers may submit feedback on the clinical practice guidelines via email.