Criteria

CareCore National's extensive evidence-based criteria are based on standards published by nationally- and internationally-recognized medical societies, and are supplemented by peer-reviewed literature. The criteria are updated on an annual basis.

CareCore National offers these criteria for referring physicians.

Radiology Management
CareCore National Radiology Criteria >>

Health Plan Specific Radiology Criteria

Select A Health Plan Aetna Affinity AmeriChoice AvMed Health Plans Blue Cross Blue Shield of Alabama Empire Blue Cross Blue Shield Excellus Blue Cross Blue Shield GHI Healthfirst Health Net HealthPlus HIP Horizon BCBS Neighborhood Health Plan Oxford PHP QualChoice Rocky Mountain Health Plans Univera WellCare

Cardiology Management
Cardiology Criteria >>

Oncology Management
Oncology Criteria >>

Radiation Therapy Management
Radiation Therapy Criteria >>

Pain Management
Pain Management Criteria >>

Sleep Management
Sleep Management Criteria >>