Clinical Policies & Guidelines

At TurningPoint Healthcare Solutions we are committed to ensuring that all patients receive high-quality, evidence-based care. Our Clinical Policies and Guidelines are developed by a team of industry-leading physicians in collaboration with many nationally recognized societies. We consider our Clinical Policies and Guidelines to be the foundation of the improved quality, efficiency, and improved outcomes we deliver.

If you are a Provider and would like to view our Clinical Policies and Guidelines, these are available to you through our Provider Portal at!/.

If you are a member, prospective member, or a member of the general public, please complete the form below so that we can ensure that we provide you with the Clinical Policy or Guideline responsive to your inquiry, as our Clinical Policies often vary by Health Plan, Benefit Plan, State and Line of Business. All requests are routed through TurningPoint’s Provider Relations ticketing system for verification, and a response will be provided upon verification.

TurningPoint provides prior authorization and quality management services on behalf of many health plan clients, and applicable clinical criteria may vary among plans. The addition of a health plan name will help us more accurately fulfill your request.
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