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Clinical & Preventative Guidelines

Our Clinical and Preventative Guidelines assist clinicians by providing a framework for the evaluation and treatment of patients. These guidelines have not been developed as, nor should they be construed as absolute standards or minimal levels of care. The physician, in light of the individual circumstances presented by the patient, must make the ultimate judgment regarding the application of any specific mode of treatment. In other words, these guidelines are not intended to replace the clinical judgment of health care professionals.

Chorus Community Health Plan’s Medical Advisory Committee reviews the following guidelines at least every two years or earlier if there are significant evidence-based changes in best practices or updates to reference guidelines.

Immunization Schedule Guidelines


Other Guidelines


Policies 

CCHP's clinical criteria used in UM decision making are available to contracted credentialed providers upon request. Providers may contact CCHP to request a copy of the specific clinical criteria in the following ways:

  • Faxing requests to: 414-266-4726.
  • Mailing requests to: Chorus Community Health Plans Attn: Manager of Utilization Management P.O. Box 1997, MS6280 Milwaukee, WI 53201-1997.
  • Calling CCHP at 877-227-1142, option 2.


Resources