GUIDELINES & POLICIES
Optum follows national guidelines and policies to ensure the integrity of our network.
Best Practice Guidelines
Optum Best Practice Guidelines are located at our partner website of Provider Express.
Level of Care Guidelines
Idaho Medicaid Supplemental Clinical Criteria (Optum Idaho Level of Care Guidelines) - Effective 12/14/2019
Idaho Medicaid Supplemental Clinical Criteria (Optum Idaho Level of Care Guidelines) - Effective 3/1/2020
Network Provider Audit Tools
Network Provider Manual
Provider Clinical Questions: (855) 202-0983 | Primary Care Provider Psychiatric Consult press option 1