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Clinical Practice Guidelines

The following guidelines are provided for your reference. Our Company reviews each guideline at a minimum every two years, but may do so earlier if new scientific evidence or national standards are published.

These recommendations are informational only. They are not intended to require a specific course of treatment or take the place of professional medical advice, diagnosis or treatment. Members should make decisions about care with their healthcare providers. Recommended treatment or services may not be covered. Eligibility and coverage depend on the member’s specific benefit plan.


Guidelines Expand 
Topic  

Alcohol Screening

Alcohol Screening and Brief Intervention for Youth: A Practitioner’s Guide
This guideline is not intended to be a handout for youth. National Institute on Alcohol Abuse and Alcoholism (NIAAA) produced in collaboration with the American Academy of Pediatrics. NIH Publication No. 11-7805. Published 2011.

Helping Patients Who Drink Too Much, A Clinician’s Guide
National Institute on Alcohol Abuse and Alcoholism (NIAAA). Updated 2005.

Video Guide: Helping Patients Who Drink Too Much
An online interactive video course. National Institute on Alcohol Abuse and Alcoholism (NIAAA).

Attention Deficit/Hyperactivity Disorder (ADHD)

Depression, for Behavioral Health and Primary Care Providers

Practice Guideline for the Treatment of Patients With Major Depressive Disorder, Third Edition
American Psychiatric Association. Updated October 2010.

Depression Management Tool Kit
Includes assessment aids, patient handouts and the PHQ-9 Patient Questionnaire. The John D. & Catherine T. MacArthur Foundation’s Initiative on Depression & Primary Care and 3CM, LLC. Published 2009.

Bipolar Disorder
The STABLE Resource Toolkit provides quality improvement resources to assist clinicians in the identification and management of bipolar disorder.

Copyright 2007 by the Center for Quality Assessment and Improvement in Mental Health. www.cqaimh.org/stable

Diabetes

Standards of Medical Care in Diabetes 2017
January 2017 Volume 40 Supplement 1

Preventive Care

Preventive Healthcare
The Patient Protection and Affordable Care Act of 2010 helps to ensure coverage for preventive services such as immunizations, checkups, and screening tests. These preventive service recommendations are frequently being updated and are available for the populations listed below:

Coverage for all services listed in the preventive guidelines only applies to non-grandfathered employer group members and is not guaranteed as coverage is dependent on the specific health benefit plan issued to the member.

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