Through the design, implementation and ongoing improvement of organizational systems, Optimum HealthCare continually strives to achieve quality care and services. Please click the links below for further information.
- Quality Management
- Medical Record Standards
- Special Needs Plans
- Case Management
- Disease Management
- Utilization Management
- Referrals & Advance Approvals for Services
- Clinical Practice Guidelines
- Preventive Health Guidelines
- Preventive Screening Guide for Key HEDIS® Measures
- Member Rights and Responsibilities
- Advance Directives