Clinical Practice Guidelines are evidence-based statements and recommendations designed to assist clinicians by providing an analytical framework for the evaluation and treatment of patients. While they should be followed in most cases, there is an understanding that, depending on the patient, the setting, the circumstances, or other factors, care can and should be tailored to fit individual needs.
Clinical guidelines are based on the most current scientific evidence, and are adopted or adapted from standards published by recognized sources. Each guideline is reviewed and updated by Health Plan staff and approved at least every two years by the plans’ Quality Management Committee.
These guidelines are not a statement of benefits. Benefits may vary. Individual coverage will need to be verified by the Plan.
Instructions: Use the links below to view and print copies of our guidelines. If you don't already have Acrobat® Reader, you can download it free at Adobe.com.
- ADHD Guideline
Adopted from the American Academy of Pediatrics December 2013. Next review December 2015.
- Depression Guideline Adults in Primary Care
Adopted the Institute for Clinical Systems Improvement, Inc. (ICSI) Health Care Guideline "Major Depression in Adults in Primary Care Fifteenth Edition May 2012"
Guideline reviewed August 2012. Next review August 2014
- Preventive Care of Adults Ages 19 and Older: Practice Guidelines:
Reviewed April 2013. Next scheduled review April 2015.
Adopted from the U.S. Preventive Services Task Force (USPSTF)
Recommendations for Adults
Excellus has adopted the following exceptions to the USPSTF recommendations: