Custom Clinical Criteria
A detailed guide to the medical necessity standards for specific procedures, specialized treatments, and durable medical equipment under Medicaid in Colorado.
Custom Clinical Criteria
The Custom Clinical Criteria documents define the specific medical necessity standards for various procedures, diagnostics, and durable medical equipment covered under your health plan. This collection establishes clear clinical prerequisites for targeted interventions ensuring both providers and members understand the exact requirements for care.
InterQual
Access industry-standard, evidence-based clinical guidelines directly from your desktop browser or mobile device with the InterQual app. This tool empowers health care professionals to quickly reference medical necessity criteria and streamline care authorizations on the go.