Practice Guidelines for Providers | Ambetter from Buckeye Health Plan

 

Clinical Practice and Preventive Health Guidelines

Medical

Guideline Title: American Cancer Society Guidelines for the Early Detection of Cancer (Revised October 2015)
Recognized Source: American Cancer Society (ACS)
Review Approval Date: Jun-15, June-16

Guideline Title: Morbidity and Mortality Weekly Report (MMWR) (Last updated June 9, 2016)
Recognized Source: Centers for Disease Control and Prevention (CDC)
Review Approval Date: Jul-15, June-16

Guideline Title: U.S. Preventive Services Task Force Recommendations. (Publication dates vary)
Recognized Source: U.S. Preventive Services Task Force (USPSTF)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Asthma Care Quick Reference Diagnosing and managing asthma (PDF). Guidelines from the National Asthma Education and Prevention Program. Expert Panel Report 3. (Revised 2012.)
Recognized Source: U.S. Department of Health and Human Services; National Institute of Health; National Heart, Lung, and Blood Institute
Review Approval Date: Jun-15, June-16

Guideline Title: Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (Full Report July 2007) and Changes to the Guidelines (August 2008)
Recognized Source: U.S. Department of Health and Human Services; National Institute of Health; National Heart, Lung, and Blood Institute 
Review Approval Date: Jun-15, June-16

Guideline Title: Global Strategy For Asthma Management and Prevention. Updated 2016
Recognized Source: Global Initiative for Asthma (GINA)
Review Approval Date: Jul-15, Jul-16

Guideline Title: Adult Acute Low Back Pain (PDF) (Updated November 2012)
Recognized Source: Institute for Clinical Improvement (ISCI)
Review Approval Date: Jun-15, June-16

Guideline Title: Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society (October 2, 2007)
Recognized Source: American College of Physicians; American Pain Society
Review Approval Date: Jul-15, June-16

Guideline Title: Low back pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association (April 2012)
Recognized Source: American Physical Therapy Association (APTA)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Final Recommendation Statement Gonorrhea and Chlamydia: Screening, September 2014
Recognized Source: U.S. Preventive Services Task Force (USPSTF)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (Updated 2016)
Recognized Source: The Global Initiative for Chronic Obstructive Lung Disease (GOLD)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents. The Report of the Expert Panel (Last Updated January 2013)
Recognized Source: U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute
Review Approval Date: Jul-15, Jun-16

Guideline Title: ACC/AHA Prevention Guideline: 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk. (Circulation. 2014; 129:S49-S73) (Published online November 12, 2013) 
Recognized Source: American College of Cardiology and American Heart Association Task Force
Review Approval Date: Jul-15, Jun-16

Guideline Title: AHA Scientific Statement: Exercise and Physical Activity in the Prevention and Treatment of Atherosclerotic Cardiovascular Disease (Circulation. 2003; 107:3109-3116)
Recognized Source: The Council on Clinical Cardiology and the Council on Nutrition, Physical Activity, and Metabolism
Review Approval Date: Jun-15, Jun-16

Guideline Title: AHA Scientific Statement: Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults. (Circulation. 2013; 128:2422-2446)
Recognized Source: American Heart Association
Review Approval Date: Jul-15, Jun-16

Guideline Title: AHA/ACC/ASH Scientific Statement Treatment of Hypertension in Patients with Coronary Artery Disease. (Circulation 2015;131:e435-e470)
Recognized Source: American Heart Association, American College of Cardiology, and American Society of Hypertension
Review Approval Date: Jul-15, Jun-16

Guideline Title: AHA/ACCF Guideline: AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and Other Atherosclerotic Vascular Disease, 2011 Update (PDF) (Circulation. 2011; 124: 2458-2473) 
Recognized Source: American Heart Association and American College of Cardiology Foundation
Review Approval Date: Jun-15, Jun-16

Guideline Title: The Primary and Secondary Prevention of Coronary Artery Disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition) (June 2008)
Recognized Source: American College of Chest Physicians
Review Approval Date: Jul-15, Jun-16

Guideline Title: AACE/ACE Guidelines: American Association of Clinical Endocrinologists and American College of Endocrinology - Clinical Practice Guidelines for Developing a Diabetes Mellitus Comprehensive Care Plan (PDF) (Endocrine Practice 2015, Volume 21, S1-87).
Recognized Source: American Association of Clinical Endocrinologists and American College of Endocrinology
Review Approval Date: Jun-15, Jun-16

Guideline Title: Clinical Practice Recommendations – 2015. Standards of Medical Care in Diabetes (Diabetes Care 2016, Volume 39, S1-S112)
Recognized Source: American Diabetes Association (ADA)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Standards of Medical Care in Diabetes (Diabetes Care January 2016, 39: 1175-1395)
Recognized Source: American Diabetes Association (ADA)
Review Approval Date: Jun-15, Jun-16

Guideline Title: ACCF/AHA Practice Guideline 2013 ACCF/AHA Guideline for the Management of Heart Failure (PDF) (Circulation. 2013; 128: e240-e327)
Recognized Source: American College of Cardiology Foundation and American Heart Association Task Force on Practice Guidelines
Review Approval Date: Jun-15, Jun-16

Guideline Title: AHA Scientific Statement: Exercise and Heart Failure (Circulation. 2003; 107:1210-1225) 
Recognized Source: American Heart Association Committee on Exercise, Rehabilitation, and Prevention
Review Approval Date: Jun-15, Jun-16

Guideline Title: HFSA 2010 Comprehensive Heart Failure Practice Guideline. (June 2010; 16: e1-e194)
Recognized Source: Heart Failure Society of America
Review Approval Date: Jun-15, Jun-16

Guideline Title: Updated Clinical Practice Guidelines on Heart Failure: An International Alignment (May 2016)
Recognized Source: American Heart Association, American College of Cardiology Foundation, Heart Failure Society of American, and the Heart Failure Association and the European Society of Cardiology
Review Approval Date: Jun-16

Guideline Title: ACC/AHA Prevention Guideline: 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults. (Circulation 2014; 129:S1-S45)
Recognized Source: American College of Cardiology/American Heart Association Task Force on Practice Guidelines
Review Approval Date: Jul-15, Jun-16, Aug-16

Guideline Title: Management of Blood Cholesterol in Adults: Systematic Evidence Review from the Cholesterol Expert Panel (2013)
Recognized Source: U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute
Review Approval Date: Jul-15, Jun-16

Guideline Title: Third Report of the National Cholesterol Education Program  Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report September 2002
Recognized Source: National Institute of Health and National Heart, Lung, and Blood Institute
Review Approval Date: Jun-15, Jun-16

Guideline Title: 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8) (JAMA. 2014;311(5):507-520. doi:10.1001/jama.2013.284427)
Recognized Source: The Journal of the American Medical Association (JAMA)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC7) (PDF) (August 2004)
Recognized Source: U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung and Blood Institute
Review Approval Date: Jul-15, Jun-16

Guideline Title: Adult Immunization Schedule, United States 2016
Recognized Source: Advisory Committee on Immunization Practices (ACIP)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Birth-18 Years & "Catch-up" Immunization Schedules, United States 2016
Recognized Source: Advisory Committee on Immunization Practices (ACIP)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP), United States 2015-16 Influenza Season
Recognized Source: Advisory Committee on Immunization Practices (ACIP)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Lead Toxicity: How should patients exposed to lead be evaluated? (August 20, 2007)
Recognized Source: Agency for Toxic Substances and Disease Registry (ATSDR)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention Report of the Advisory Committee on Childhood Lead Poisoning Prevention of the Centers for Disease Control and Prevention (January 4, 2012)  
Recognized Source: Advisory Committee for Childhood Lead Poisoning Prevention
Review Approval Date: Jun-15, Jun-16

Guideline Title: Recommendations for Blood Lead Screening of Medicaid-Eligible Children Aged 1-5 Years: an Updated Approach to Targeting a Group at High Risk (Last Reviewed 07/28/2009)
Recognized Source: Advisory Committee on Childhood Lead Poisoning, Division of Environmental and Emergency Health Services, and National Center for Environmental Health
Review Approval Date: Jul-15, Jun-16

Guideline Title: Guidelines on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents (PDF) (Revised 2013)
Recognized Source: American Academy of Pediatric Dentistry
Review Approval Date: Jul-15, Jun-16

Guideline Title: Periodicity Schedule: Recommendations for Preventive Pediatric Health Care (2015) 
Recognized Source: American Academy of Pediatrics (AAP) 
Review Approval Date: Jun-15, Jun-16

Guideline Title: AFP by Topic: Prenatal (2016)
Recognized Source: American Academy of Family Physicians (AAFP)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Guidelines for Perinatal Care, Seventh Edition (October 2012) Available online for ACOG members only.
Recognized Source: The American College of Obstetricians and Gynecologists
Review Approval Date: Jun-15, Jun-16

Guideline Title: Adult and Pediatric treatment recommendations. (Last updated April 17, 2015)
Recognized Source: Centers for Disease Control and Prevention (CDC)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America (PDF). (Clin Infect Dis 2012; 55: e86-e102.) First published online Sept. 9, 2012
Recognized Source: Infectious Disease Society of America (IDSA)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Upper Respiratory Tract Infections (Publication dates vary)
Recognized Source: American Academy of Family Physicians (AAFP)
Review Approval Date: Jun-16

Guideline Title: Diagnosis and Treatment of Respiratory Illness in Children and Adults (PDF). (Updated January 2013)
Recognized Source: Institute for Clinical Systems Improvement (ICSI)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Evidence-Based Management of Sickle Cell Disease (PDF). Expert Panel Report, 2014. 
Recognized Source: U.S. Department of Health and Human Services; National Institutes of Health; National Heart, Lung, and Blood Institute 
Review Approval Date: Jul-15, Jun-16

Guideline Title: Sickle Cell Disease, Recommendations (Last updated September 14, 2015)
Recognized Source: Centers for Disease Control and Prevention (CDC)
Review Approval Date: Jul-15, Jun-16

Guideline Title: The Management of Sickle Cell Disease, Fourth Edition (2004)
Recognized Source:  National Institutes of Health; National Heart, Lung, and Blood Institute 
Review Approval Date: Jun-15, Jun-16

Guideline Title: Active Healthy Living: Prevention of Childhood Obesity Through Increased Physical Activity. (Pediatrics Vol. No.5 May 1, 2006 pp.1834-1842)
Recognized Source:  American Academy of Pediatrics (AAP)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Adult Weight Management (AWM) Guideline (2014)
Recognized Source: Academy of Nutrition and Dietetics
Review Approval Date: Jun-15, Jun-16

Guideline Title: Managing Overweight and Obesity in Adults: Systematic Evidence Review from the Obesity Expert Panel (2013)
Recognized Source: U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute
Review Approval Date: Jul-15, Jun-16

Guideline Title: Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report (PDF) (December 2007)
Recognized Source: American Academy of Pediatrics (AAP)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Final Recommendation Statement Obesity in Children and Adolescents: Screening, January 2010
Recognized Source: U.S. Preventive Services Task Force (USPSTF)
Review Approval Date: Jul-15, Jun-16

Guideline Title: The Practical Guide to the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (PDF) (NIH Publication Number 00-4084 October 2000)
Recognized Source: National Institute of Health; National Heart, Lung, and Blood Institute; North American Association for the Study of Obesity
Review Approval Date: Jun-15, Jun-16

Behavioral Health

Guideline Title: Clinical Practice Guideline: Treatment of the School-Aged Child with Attention-Deficit/Hyperactivity Disorder (Pediatrics Vol. 108 No. 4 October 1, 2001 pp. 1033 -1044)
Recognized Source: American Academy of Pediatrics (AAP)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Practice Parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder (PDF) (AACAP Revised: 7/2007)
Recognized Source: American Academy of Child and Adolescent Psychiatry (AACAP)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders (PDF) (Revised: 2/2007)
Recognized Source: American Academy of Child and Adolescent Psychiatry (AACAP)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Practice Guideline for the Treatment of Patients with Bipolar Disorder. Second Edition. (April 2002) and Guideline Watch (November 2005)
Recognized Source: American Psychiatric Association (APA)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Practice parameter for the assessment and treatment of children and adolescents with bipolar disorder (PDF).(Revised: 1/2007)
Recognized Source: American Academy of Child and Adolescent Psychiatry (AACAP)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Practice Guideline for the Treatment of Patients With Major Depressive Disorder. Third Edition (PDF). (2010)
Recognized Source: American Psychiatric Association (APA)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Practice parameter for the assessment and treatment of children and adolescents with depressive disorders (PDF) (Revised 11/2007) 
Recognized Source: American Academy of Child and Adolescent Psychiatry (AACAP)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder (PDF). (1/2007)
Recognized Source: American Academy of Child and Adolescent Psychiatry (AACAP)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Practice Guideline for the Treatment of Patients with Panic Disorder. Second Edition. (January 2009)
Recognized Source: American Psychiatric Association (APA)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Practice parameter for the psychiatric assessment and management of physically ill children and adolescents. (February 2009)
Recognized Source: American Academy of Child and Adolescent Psychiatry (AACAP)
Review Approval Date: Jun-16

Guideline Title: The Practice Guideline for the Treatment of Patients With Schizophrenia. Second Edition.(April 2004) and Guideline Watch (September 2009)
Recognized Source: American Psychiatric Association (APA)
Review Approval Date: Jul-15, Jun-16

Guideline Title: The Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder. (November 2004) and Guideline Watch (March 2009)
Recognized Source: American Psychiatric Association (APA)
Review Approval Date: Jun-15, Jun-16

Guideline Title: Practice Guideline for the Treatment of Patients With Substance Use Disorders(May 2006) and Guideline Watch (April 2007)
Recognized Source: American Psychiatric Association (APA)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Practice Guideline for the Treatment of Patients With Substance Use Disorders (May 2006) and Guideline Watch (April 2007)
Recognized Source: American Psychiatric Association (APA)
Review Approval Date: Jul-15, Jun-16

Guideline Title: Smoking Cessation During Pregnancy (Obstet Gynecol 2017; 130: e200–4)
Recognized Source: American College of Obstetricians and Gynecologists
Review Approval Date: Oct-17

Guideline Title: Treating Tobacco Use and Dependence: 2008 update (PDF) (May 2008)
Recognized Source: U.S. Department of Health and Human Services; Public Health Service
Review Approval Date: Jun-15, Jun-16

Guideline Title: Practice parameter for the use of psychotropic medication in children and adolescents (PDF) (9/2009)
Recognized Source: American Academy of Child and Adolescent Psychiatry (AACAP)
Review Approval Date: Jul-15, Jun-16