Policies and Guidelines > Clinical Guidelines

Clinical Guidelines

Medica’s clinical guidelines align with national professional organizations and other health care specialty societies that develop clinical guidelines.

Clinical guidelines are intended to be used to encourage quality patient care, but cannot guarantee specific patient outcome, and should be used only as a reference guide. The guidelines are not intended to replace a clinician's own judgment with regard to the care needed by individual members or to establish protocols for the care of all members.

Coverage of specific services may vary based on the terms of specific member/enrollee contracts (including state and federal government program contracts), administrative policies, and state/federal mandates.