Optum follows national guidelines and policies to ensure the integrity of our network.
GUIDELINES & POLICIES
Best Practice Guidelines
Click here to view the Optum Best Practice Guidelines which are located at our partner website, Provider Express.
Level of Care Guidelines
Idaho Medicaid Supplemental Clinical Criteria Effective 11/1/2021
Idaho Medicaid Supplemental Clinical Criteria Effective 7/1/2021
Idaho Medicaid Supplemental Clinical Criteria Effective 1/1/2021
Network Provider Audit Tools
Network Provider Manual
Provider Manual
Provider Manual Change Index
Provider Manual Appendix (Does not reflect any allowances made for COVID service delivery.)
If you have any questions, please contact your Provider Relations Advocate.
Provider Clinical Questions: (855) 202-0983 | Primary Care Provider Psychiatric Consult press option 1