August 27, 2021
We’ve updated our Clinical Practice Guidelines and Preventive Care Guidelines. The guidelines draw from evidence-based standards of care and nationally recognized medical authorities to help direct our quality and health management programs and help improve member care. They may help guide your decision-making as you care for our members.
Updated Clinical Practice Guidelines:
- Asthma – Management and Prevention
- COPD – Diagnosis, Management and Prevention
- Comprehensive Human Immunodeficiency Virus (HIV)
- Diabetes Mellitus – Standards of Care
- Management of Overweight and Obesity in Adults
Updated Preventive Care Guidelines include important changes to:
- Cholesterol Screening
- Colorectal Cancer Screening
- Diabetes Screening
- Hypertension Screening
- Lung Cancer Screening
- Unhealthy Drug Use Screening
We update them no less than every two years or when new significant findings or major advancements in evidence-based care are established.
The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. References to third party sources or organizations are not a representation, warranty or endorsement of such organizations. Any questions regarding those organizations should be addressed to them directly. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.