Guidelines
We’ve chosen certain clinical guidelines to help our providers get members high-quality, consistent care that uses services and resources effectively. These include treatment protocols for specific conditions, as well as preventive health measures.
These guidelines are intended to clarify standards and expectations. They should not:
- Take precedence over your responsibility to provide treatment based on the member’s individual needs
- Substitute as orders for treatment of a member
- Guarantee coverage or payment for the type or level of care proposed or provided
Clinical policy bulletins
Preventive health guidelines
- Advisory Committee for Immunization Practice vaccine recommendations
- American Academy of Pediatrics periodicity schedule
- Breastfeeding
- CDC vaccine recommendations for pregnant women
- Domestic violence
- Domestic violence hotline
- Hepatitis C screening
- HIV
- Teen pregnancy
- U.S. Preventive Services Task Force A and B recommendations
- Women, Infants, and Children (WIC)
- WIC prescreening tool