Practice Guidelines

We are committed to supporting our providers in the care of our members by making clinical best practice references available.

Clinical Practice Guidelines

We have adopted the recommendations of the following organizations as our practice guidelines. With permission from these organizations, BlueChoice HealthPlan has created direct links from our Web site to these guidelines.

BlueChoice HealthPlan's Quality Medical Advisory Panel (QMAP) reviews and adopts all guidelines at least annually and more frequently if necessary to review new scientific evidence or national standards as they are published.

While we review the guidelines annually, you should not construe them as a legal or required standard of care, or as an indication they will always apply in every medical situation. These are recommendations only, and do not guarantee any medical results or indicate coverage for such services by any given plan or policy.

We hope these guidelines will be a convenient resource in helping you care for your patients.

Asthma
National Institutes of Health: National Heart, Lung and Blood Institute

 
Back Pain

Behavioral Health
Attention Deficit Hyperactivity Disorder
 
American Academy of Pediatrics (AAP)
 
 
(PEDIATRICS Vol. 108 No. 4 October 2001, pp. 1033-1044)

Bright Futures at Georgetown
 
Cancer (Supportive Care in Oncology)
National Comprehensive Cancer Network (NCCN)
National Comprehensive Cancer Network Clinical Practice Guidelines 

Chlamydia
Centers for Disease Control and Prevention (CDC)
Sexually Transmitted Diseases - Treatment Guidelines 2006 (Chlamydial Infections) 

Chronic Kidney Disease

Chronic Obstructive Pulmonary Disease (COPD)
 
Congestive Heart Failure (CHF)
American College of Cardiology Foundation/American Heart Association
 
Coronary Artery Disease (CAD)
American College of Cardiology Foundation & American Heart Association
 
American Heart Association
 
American Heart Association/American College of Cardiology
 

Diabetes
American Diabetes Association (ADA)
Standards of Medical Care in Diabetes (2018)

High Blood Cholesterol
American College of Cardiology/American Heart Association
National Institutes of Health: National Heart, Lung and Blood Institute
Human Papillomavirus (HPV)
Centers for Disease Control and Prevention (CDC)
HPV Information for Clinicians - Brochure on transmission, prevention, detection and clinical management of HPV (April 2007)
 
 
American Heart Association 

Immunization Guidelines
Center for Disease Control and Prevention
 
Maternity/Perinatal Guidelines
US Preventive Services Task Force
 
American Congress of Obstetricians and Gynecologists
 
Metabolic Syndrome
American Heart Association/National Heart, Lung and Blood Institute 
 
Migraine
American Academy of Neurology
 
International Headache Society
 
Obesity and Overweight: Adults
Office of Disease Prevention and Health Promotion
 
American Heart Association/American College of Cardiology
 
National Institutes of Health: National Heart, Lung, and Blood Institute

Obesity and Overweight: Children
Endocrine Society
 
Office of Disease Prevention and Health Promotion 
 
National Institutes of Health: National Heart, Lung and Blood Institute
 
Physical Activity Guidelines
U.S. Department of Health and Human Services
 
Prediabetes
American Diabetes Association 
 
Preventive Guidelines 
U.S Preventive Services Task Force (USPSTF)
 
American Academy of Family Physicians
 
Tobacco Cessation Guidelines
Agency for Healthcare Research and Quality (AHRQ)
 
Preventive Health Guidelines
We have adopted the recommendations of the U.S. Department of Health and Human Services through the Public Health Service, the Office of Public Health and Science, and the Office of Disease Prevention and Health Promotion as our preventive health guidelines for adults, children and adolescents. With permission from these organizations, BlueChoice HealthPlan has created direct links from our Web site to these guidelines.

 

While we review the guidelines annually, you should not construe them as a legal or required standard of care, or as an indication they will always apply in every medical situation. These are recommendations only, and do not guarantee any medical results or indicate coverage for such services by any given plan or policy.

We hope these guidelines will be a convenient resource in helping you care for your patients.

Preventive Health Guidelines for Children and Adolescents