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Optum follows national guidelines and policies to ensure the integrity of our network.  

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 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