Medical Necessity Criteria & Clinical Practice Guidelines

Under Banner Health Plans (BHP), our medical necessity criteria and clinical practice guidelines are applicable to:

Banner – University Family Care/AHCCCS Complete Care (B – UFC/ACC)
Banner – University Family Care/Arizona Long Term Care System (B – UFC/ALTCS)
 

Medical Necessity Criteria

Medical necessity criteria used by BHP in clinical decision-making.

Clinical Practice Guidelines

Our clinical practice guidelines are endorsed or developed with designated, desired outcomes and associated, standardized measures of effectiveness.

Behavioral Health Guidelines

Details and resources about Behavioral Health Guidelines.