Health Plan Peer-to-Peer Review Resources
In accordance with Department of Healthcare and Family Services requirements, all Medicaid Managed Care Organizations must maintain a peer-to-peer (P2P) review process that enables treating physicians to discuss services subject to utilization management review with a clinical peer of the same or similar specialty.
Information about Illinois health plan peer review procedures may be found at the links below:
Aetna Better Health of Illinois
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Blue Cross Community Health Plan
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