Clinical Practice Guidelines

To help provide our members with consistent, high-quality care that uses services and resources effectively, we have chosen certain clinical guidelines to help our providers. 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

National Heart, Lung and Blood Institute Health Topics - Asthma, COPD, Cystic Fibrosis, High Blood Cholesteral, High Blood Pressure, Insomnia, Sickle Cell Disease, Sleep Deprivation amd Deficiency, Sleep Studies, Smoking and Your Heart