Health Care Links
Clinical Practice and Preventive Health Guidelines
CareSource® recognizes the importance of promoting evidence-based standards of care for prevention of illness and management of chronic health conditions for our members. CareSource adopts nationally recognized clinical practice and preventive health guidelines from federal agencies and medical professional specialty organizations. We strongly encourage all members to visit their health care providers for annual screenings and regular follow up for management of chronic illnesses.
Providers can access clinical practice and preventive health guidelines via the links below. If you need these guidelines sent to you by mail, please call Provider Services.
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Clinical Practice Guidelines
| Health Condition | Clinical Guideline |
| Asthma | Guidelines for the Diagnosis and Management of Asthma (EPR-3)National Heart, Lung and Blood Institute, National Institutes of HealthAsthma Action PlanAmerican Academy of Allergy, Asthma & Immunology Asthma Action Plan |
| Blood Cholesterol | 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in AdultsAmerican College of Cardiology, American Heart AssociationThe American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke. |
| Chronic Obstructive Pulmonary Disease | Global Strategy for the Diagnosis, Management and Prevention of COPD (click to download report)Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) 2016 |
| Coronary Artery Disease | AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2011 UpdateAmerican College of Cardiology, American Heart Association |
| Dental | ADA Clinical Practice Guidelines HandbookAmerican Dental Association (ADA)ADA is a registered trademark of the American Dental Association and ADA.org is a service mark of the American Dental Association. Links may be made to ADA.org provided the links do not use trademarks or service marks of the American Dental Association or its affiliated entities. |
| Diabetes | Standards of Medical Care in Diabetes – 2016American Diabetes AssociationAmerican Diabetes Association (2016). Standards of Medical Care in Diabetes – 2016. Diabetes Care, The Journal of Clinical and Applied Research and Education, Volume 39, (Supplement 1), pp. S1-S109. |
| Heart Failure | 2016 ACC/AHA/HFSA Focused Update on New Pharmacological Therapy for Heart Failure: An Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure American College of Cardiology, American Heart Association, Heart Failure Society of America |
| HIV/AIDS | CDC Guidelines and Recommendations for HIV/AIDSCenters for Disease Control and Prevention CDC.gov is your online source for credible health information and is the official Web site of the Centers for Disease Control and Prevention (CDC). |
| Hypertension | An Effective Approach to High Blood Pressure ControlAmerican Heart Association, American College of Cardiology, Centers for Disease Control & Prevention |
| Pregnancy: Postpartum Care | Optimizing Postpartum CareAmerican College of Obstetricians and GynecologistsThe American College of Obstetricians and Gynecologists is a membership organization dedicated to the advancement of women’s health care through continuing medical education, research and practice. |
| Pregnancy: Prenatal Care | Routine Prenatal CareAgency for Healthcare Research and Quality (AHRQ)The Agency for Healthcare Research and Quality Web site provides practical health care information, research findings, and data to help consumers, health providers, health insurers, researchers and policy makers make informed decisions about health care issues. |
| Sickle Cell | Evidence-Based Management of Sickle Cell Disease: Expert Panel Report, 2014National Heart, Lung and Blood Institute (NHLBI) |
| Sickle Cell: Pediatrics | Health Supervision for Children with Sickle Cell DiseaseAmerican Academy of Pediatrics (AAP)The mission of the American Academy of Pediatrics is to attain optimal physical, mental and social health and well-being for all infants, children, adolescents and young adults. |
Behavioral Health Clinical Practice Guidelines
| Health Condition | Clinical Guideline |
| ADHD: Pediatric | ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents American Academy of Pediatrics (AAP) |
| ADHD: Children, Young People, Adults | Attention Deficit Hyperactivity Disorder. Diagnosis and Management of ADHD in Children, Young People and Adults Agency for Healthcare Research and Quality |
| ADHD: Ages 3-30 | Attention-Deficit Hyperactivity Disorder Agency for Healthcare Research and Quality |
| Alzheimer’s & Cognitive Impairment | Alzheimer’s Association Guidelines and RecommendationsAlzheimer’s AssociationThe Alzheimer’s Association is not responsible for information or advice provided by others, including information on websites that link to Association sites and on third party sites to which the Association links. Please direct any questions to weblink@alz.org. |
| Autism | Autism Spectrum Disorder Screening and Diagnosis Centers for Disease Control and Prevention |
| Bipolar Disorder | Guideline Watch: Practice Guidelines for the Treatment of Patients with Bipolar Disorder, 2nd EditionAmerican Psychiatric AssociationThe American Psychiatric Association is an organization of psychiatrists working together to ensure humane care and effective treatment for all persons with mental illness, including substance use disorders. |
| Depression: Major | Practice Guideline for the Treatment of Patients with Major Depressive Disorder, Third Edition American Psychiatric Association |
| Substance Abuse | A Guide to Substance Abuse Services for Primary Care CliniciansSubstance Abuse & Mental Health Services AdministrationThe Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities. |
| Substance Abuse: Opioids | Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction Substance Abuse & Mental Health Services Administration |
| Use of Psychotropic Medication in Children & Adolescents | AACAP Practice ParametersAmerican Academy of Child & Adolescent PsychiatryThe mission of AACAP is to promote the healthy development of children, adolescents, and families through advocacy, education, and research, and to meet the professional needs of child and adolescent psychiatrists throughout their careers. |
Preventive Health Guidelines
| Health Condition | Clinical Guideline |
| 0-18 Years of Age Immunization Schedule | Recommended Immunization Schedules for Persons Aged 0 Through 18 Years Centers for Disease Control and Prevention (CDC) |
| ≥ 19 Years of Age Immunization Schedule | Recommended Adult Immunization Schedule Centers for Disease Control and Prevention (CDC) |
| ≥ 19 Years of Age Immunization Schedule | Update: February 2016: CDC Adult Immunization Schedule Centers for Disease Control and Prevention (CDC) |
| Preventive Guidelines Ages 0-21 | 2016 Recommendations for Preventive Pediatric Health Care American Academy of Pediatrics |
| Preventive Guidelines: Men | Men: Stay Healthy at Any Age Agency for Healthcare Research and Policy |
| Preventive Guidelines: Women | Women: Stay Healthy at Any Age Agency for Healthcare Research and Policy |
| USPSTF: A & B Recommendations | U.S. Preventative Services Task Force A and B Recommendations U.S. Preventive Services Task Force. November 2016 |
| Vision Screening | Frequency of Ocular Examinations – 2015American Academy of OphthalmologyThe mission of the American Academy of Ophthalmology is to protect sight and empower lives by serving as an advocate for patients and the public, leading ophthalmic education, and advancing the profession of ophthalmology. |
Health Resources
| Health Condition | Clinical Guideline |
| Cancer | National Comprehensive Cancer Network® siteThe National Comprehensive Cancer Network<® (NCCN ®), a not-for-profit alliance of 27 of the world’s leading cancer centers devoted to patient care, research, and education, is dedicated to improving the quality, effectiveness, and efficiency of cancer care so that patients can live better lives. |
| Cardiovascular Health and Risk Reduction in Children & Adolescents | Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents National Heart Lung and Blood Institute |
| Cultural Competency (9 CME Credits Available) | A Physician’s Practical Guide to Culturally Competent CareU.S. Department of Health & Human Services: Office of Minority HealthThe Office of Minority Health is dedicated to improving the health of racial and ethnic minority populations through the development of health policies and programs that will help eliminate health disparities. |
| Domestic Violence | Intimate Partner Violence Centers for Disease Control & Prevention |
| EPSDT – Pediatrics <Age 21 | Early and Periodic Screening, Diagnostic, and Treatment Medicaid.gov |
| Medline Plus | U.S. National Library of Medicine siteU.S. National Library of MedicineMedlinePlus directs you to information to help answer health questions. MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations. MedlinePlus also contains extensive information about drugs and supplements, an illustrated medical encyclopedia, the latest health news, and surgery videos. |
| Healthfinder.gov | Healthfinder.gov siteU.S. Department of Health & Human ServicesHealthfinder.gov has been developed by the Department of Health and Human Services and focuses on federal, nonprofit, and educational resources. |
Behavioral Health Resources
| Health Condition | Clinical Guideline |
| Depression Screening Tool: PHQ-9 | Patient Health Questionnaire-9 PHQScreeners.com |
| Depression Screening Tool: PHQ-9 (Spanish) | Cuestionario Sobre La Salud Del Paciente – 9 PHQScreeners.com |
| Depression Screening Tool: PHQ-9 (User Manual) | Instructions for Patient Health Questionnaire (PHQ) and GAD-7 MeasuresThe PHQ family of measures were developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. |
| Depression Screening Tool: Pregnancy/Postpartum | Edinburgh Postnatal Depression ScaleThe 10-question Edinburgh Postnatal Depression Scale (EPDS) is a valuable and efficient way of identifying patients at risk for “perinatal” depression. |
| Substance Abuse: Opioid Tool Kit | Opioid Tool Kit CareSource.com |