Medical Policies

Clinical criteria are used to support consistent, evidence-based decisions regarding the diagnosis, management, and treatment of health care conditions.

CommunityCare uses its plan Medical Policies when an applicable policy is available. When a CommunityCare Medical Policy is not available, CommunityCare uses nationally recognized clinical criteria based on current medical evidence, widely accepted clinical practice guidelines, and relevant clinical literature.

Medical Policies

• Powered Upper Extremity Range of Motion Assist Devices - CM-001coming soon Effective date: 7/30/2026
• Medical Drug Formulary List Effective date: 1/1/2025
• Medical Drug Site of Care Policy