Policies and Clinical Guidelines

We have compiled a list of evidence-based clinical guidelines and where they can be found for our quality and health management programs. 

We respect the expertise of the physicians and other health care professionals in our network and appreciate your help as we work together to offer our members better quality, better health outcomes and better cost.

If you have questions, please contact your Physician Advocate or call the number on the back of the member’s ID card.

Additional Clinical Guidelines Resources

• View MCG Clinical Guidelines for the Top 15 Admission Diagnoses in the State of Mississippi

For reimbursement guidance for Community Plan members, view the current UnitedHealthcare Community Plan reimbursement policies. 

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage medical policies, medical benefit drug polices, and corresponding Policy Update Bulletins.