Ambulatory Care
A valuable source of authorization guidelines, covering imaging, DME, diagnostic testing, procedures, injectables, rehabilitation, and more. Emerging, as well as existing, technologies are addressed. Evidence Summaries are provided, enhancing access to clinical evidence cited in the criteria, enabling organizations to keep up to date, while Optimum Treatment Guidelines and Referral Management guidelines support best practice and delivery of high quality care in the outpatient setting.
 |
Download Ambulatory Care Brochure |
Important Information About the Milliman Care Guidelines: The Care Guidelines can be used by qualified, healthcare professionals as a tool in making medical necessity decisions, but they should not be used as the sole basis for denying coverage of payment. The Care Guidelines must be applied to the individual patient on a case-by-case basis and always in the context of a qualified, healthcare professional’s clinical judgment.