Clinical Resources

We want to ensure our members, your patients, have access to quality care. Below is information about our programs and resources to support you.

Behavioral Health Program

We manage behavioral health services for all commercial, non-HMO members who have behavioral health benefits through our group or retail products. Similar behavioral health programs are implemented across product lines but may differ by product. Learn more

Clinical Practice Guidelines

Clinical Practice Guidelines are based on established evidence-based standards of care. They inform our quality and health management programs. Learn more

Health Equity and Social Determinants of Health

Health equity presents the ideal that everyone deserves a fair shot at living their healthiest possible life. Learn more

Opioid Resources

We have controlled substance programs and other resources to aid your patients. Learn more

Preventive Care Guidelines

Preventive Care Guidelines focus on primary preventive services, such as immunizations, education, counseling and screening tests. They reflect the evidence-based recommendations of recognized sources. Learn more

Quality Improvement

Our Quality Improvement program uses data and other tools to measure quality across all  aspects of care, including effectiveness, access, availability and utilization. Learn more