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Forms and Resources for PromiseCare Members

Promisecare Medical Group - A person in a lab coat is holding an Addiction Medicine device.

Request clinical criteria from Apollo Managed Care

Promisecare Medical Group - A line of specialists.

PromiseCare Medical Group Care Guidelines

Promisecare Medical Group - A nurse specialized in Addiction Medicine is examining a patient in a hospital room.

Advance Health Care Directive Form (PDF)

Promisecare Medical Group - A person is holding a blood test tube in a hematology laboratory.

PromiseCare Request for Clinical Criteria (PDF)

Affirmative Statement

PromiseCare decision making is based only on appropriateness of care and service and existence of coverage. PromiseCare does not specifically reward practitioners or other individuals conducting utilization review for issuing denials of coverage. Financial incentives for PromiseCare decision makers do not encourage decisions that result in under-utilization.