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Provider Treatment Guidelines and Criteria

CommunityCare HMO's treatment guidelines and/or criteria are available solely for the use of its contracted providers. The guidelines/criteria should be viewed only as a general guide to assist in administering plan benefits and do not constitute medical advice. Guidelines/criteria are regularly updated and subject to change without notice. Specific determinations are made at the discretion of the Medical Director upon reviewing clinical information. The guidelines listed below are not inclusive, additional guidelines/criteria are available upon request.