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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. While they should be followed in most cases, there is an understanding that, depending on the patient, setting, 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. Individual coverage will need to be verified by the Plan.

  • 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 " Adult Depression in Primary Care Sixteenth Edition September 2013"
    Guideline reviewed April 2014. Next review April 2016