Resources

Carelon Medical Benefits Management Clinical Guidelines

The Carelon Clinical Guidelines are accessible online. View Cardiovascular Clinical Guidelines on the Carelon website.

For Anthem Commercial members, select cardiovascular services are reviewed using Anthem Medical Policies and Clinical Guidelines if available.

For FEP Blue members, Carelon may use FEP Blue Policies if available.

For Medicare Advantage members, Carelon utilizes CMS Criteria if available.

For Duals members, both CMS and Medicaid criteria must be met if applicable.

Order request checklist

Wondering what information you’ll need to enter your order request? Download our reference to learn more.

Cardiovascular order request checklist