Provider Policies & Compliance

Compliance is Everybody's Responsibility

YourCare is committed to conducting its business with integrity and in accordance with all federal, state, and local laws to which its business activities are subject to. The Compliance department ensures that the entire YourCare organization, including employees and business partners, maintain the highest ethical and legal standards in our day-to-day activities and responsibilities.

Thank you for your interest in the compliance department. For questions, please contact:

ComplianceDepartment@YourCareHealthPlan.com


Clinical Practice Guidelines


Help us report possible fraud, waste or abuse

To report suspected fraud, waste, or abuse call 844.654.3977. You may also send an email to SIU@YourCareHealthPlan.com. (You may remain anonymous).

Other Helpful Links:

YourCare Medical Policies

Links to Vendor Medical Policies

Alternative Medicinege

Blood Disorders (Hematology)

Bone and Joints (Orthopedic)

Cosmetic/Reconstructive Surgery

Digestive System (Gastroenterology)

Drugs/Medications

Durable Medical Equipment & Supplies

Ear, Nose, & Throat (Otorhinolaryngology)

Eyes (Ophthalmology)

Genetic Disease (Inherited Disease)

Heart & Blood Vessels (Cardiovascular)

Home Care

Lab Tests (Pathology)

Miscellaneous

Nervous System (Neurology)

Skin (Dermatology)

Therapy & Rehabilitation

Transplants

Women's Health (Obstetrics & Gynecology)