In this section you will find current versions of Medica clinical guidelines. Documents are developed using an evidence-based approach analyzing scientific literature and input from practicing physicians, Care Management staff and Medica Medical Directors. Documents are updated as necessary.
A Medica clinical guideline, adapted from regional or national credible sources, is used by physicians in the network as a reference guide to encourage quality care. Clinical guidelines are used internally at Medica to develop member education materials, disease management recommendations, and various quality studies. These guidelines are in addition to the guidelines that Medica has adopted from ICSI.
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Clinical guidelines are intended to be used to encourage quality patient care, but cannot guarantee specific patient outcome, and should be used only as a reference guide. The guidelines are not intended to replace a clinician's own judgment with regard to the care needed by individual members or to establish protocols for the care of all members. Coverage of specific services may vary based on the terms of specific member/enrollee contracts (including state and federal government program contracts), administrative policies, and state/federal mandates.