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Clinical Practice Guidelines & Patient Information Sheets
Clinical Practice Guidelines & Patient Information Sheets

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. 

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 annually by the plans’ Quality Monitoring Committee.

These guidelines are not a statement of benefits. Individual coverage will need to be verified by the Plan.

  • ADHD Guideline
    Adopted from the American Academy of Pediatrics: Reviewed March 2018. Next review March 2020.
  • Assessment and Management to Reduce Cardiovascular Risk
    Adopted from the American Heart Association February 2018. Next review February 2020. The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.
  • Management Heart Failure Adopted from the American Heart Association February 2018. Next review February 2020. The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.