Health Care Links
Clinical Practice Guidelines
HAP CareSource™ approves and adopts evidence-based nationally accepted standards and guidelines to help inform and guide providers about their clinical care of members.
Health literate member clinical practice guidelines and other health resources are available on the member website, covering a broad range of health and wellness topics. Information may also be shared via newsletters or upon member request.
CPGs are reviewed every two years, or more often and updated, if indicated. These guidelines assist in improving member health outcomes. Review and approval of CPGs are completed by the Provider Advisory Committee (PAC), with final approval by the Enterprise PAC. The Quality Enterprise Committee is notified of guideline approval.
CPG topics are chosen through analysis of our Medicaid member population demographics and state/national health priorities. Guidelines focus on key chronic diseases, preventive health measures and recommended screenings for both medical and behavioral health concerns.
| Health Condition | Clinical Guideline |
|---|---|
Asthma | Guidelines for the Diagnosis and Management of Asthma (EPR-3) National Heart, Lung and Blood Institute, National Institutes of Health |
Blood Cholesterol | 2018 Guideline on the Management of Blood Cholesterol: Executive Summary The American Heart Association, American College of Cardiology, American Association of Cardiovascular & Pulmonary Rehabilitation, American Academy of Physician Assistants, Association of Black Cardiologists, American College of Preventive Medicine, et al. The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke. |
Chronic Obstructive Pulmonary Disease (COPD) | Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) |
Coronary Artery Disease | 2019 ACC/AHA Guideline on Primary Prevention of Cardiovascular Disease: Executive Summary American College of Cardiology and American Heart Association Task Force on Clinical Practice Guidelines The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke. |
Dental Health | ADA® Center for Evidence-Based Dentistry™ Clinical Practice Guidelines The American 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 – 2021 American Diabetes Association Diabetes Care 2021 Jan; 44 (Supplement 1): S1-S2 |
Geriatric Medicine | Geriatric Medicine Clinical Recommendations & Guidelines American Academy of Family Physicians (AAFP) |
Heart Failure | American College of Cardiology American College of Cardiology, 2019 ACC Expert Consensus Decision Pathway on Risk Assessment, Management, and Clinical Trajectory of Patients Hospitalized With Heart Failure Part 2 of a two-stage publication: 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Part 1 Update 2016: 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: An Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. American College of Cardiology, American Heart Association, Heart Failure Society of America |
HIV/AIDS | HIV Guidelines and Recommendations Centers 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 | 2020 International Society of Hypertension Global Hypertension Practice Guidelines American Heart Association The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke. |
Infant Mortality | Infant Mortality: What is CDC Doing? Centers for Disease Control & Prevention |
Lead Toxicity | Prevention of Childhood Lead Toxicity The American Academy of Pediatrics, Council on Environmental Health 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. |
Postpartum Care | The American College of Obstetrics and Gynecologists The American College of Obstetrics and Gynecologists |
Sickle Cell Disease | Evidence-Based Management of Sickle Cell Disease, Expert Panel Report, 2014 National Heart, Lung and Blood Institute (NHLBI) |
Sickle Cell Disease: Pediatric | Management of Children with Sickle Cell Disease: A Comprehensive Review of the Literature American Academy of Pediatrics |
Preventive Health Guidelines
| Health Condition | Clinical Guideline |
|---|---|
0-18 Years of Age Immunization Schedule | Recommended Child & Adolescent Immunization Schedule for Ages 18 Years or Younger Centers for Disease Control and Prevention |
≥ 19 Years of Age Immunization Schedule | Recommended Adult Immunization Schedule for Ages 19 or Older, United States Centers for Disease Control and Prevention |
Periodicity Schedule | Bright Futures Periodicity Schedule American Academy of Pediatrics |
Recommendations for Preventive Pediatric Care: 0-21 Years of Age | 2021 Recommendations for Preventive Pediatric Care American Academy of Pediatrics |
USPSTF: A & B Recommendations | U.S. Preventive Services Task Force Recommendations U.S. Preventive Services Task Force |
Other Health Resources
| Health Condition | Clinical Guideline |
|---|---|
ADHD: Pediatrics | Centers for Disease Control and Prevention |
Cancer Care | National Comprehensive Cancer Network® site The 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 | National Heart, Lung & Blood Institute |
Contraceptive Use: U.S. Medical Eligibility Criteria | U.S. Medical Eligibility Criteria (US MEC) for Contraceptive Use 2016-Present Centers for Disease Control and Prevention |
Domestic Violence | Centers for Disease Control & Prevention |
EPSDT – Pediatrics & Age 21 | Early & Periodic Screening, Diagnostic and Treatment Medicaid.gov-EPSDT |
Infant Mortality | Infant Mortality Rates by State National Center for Health Statistics |
LactMed® Drugs & Lactation Database | Drugs and Lactation Database, National Library of Medicine, 2006-(Present) National Library of Medicine |
Maternal Mortality | Reproductive Health, Maternal Mortality Centers for Disease Control and Prevention |
MedlinePlus® | U.S. National Library of Medicine site U.S. National Library of Medicine MedlinePlus 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. |
Preconception & Prenatal Care | Pre-Pregnancy Care and Prenatal Care Resources, Resources for Researchers and Health Care Providers Eunice Kennedy Shriver National Institute of Child & Human Development |
Pregnancy: Safer Medication Use | Treating for Two: Medicine and Pregnancy Centers for Disease Control and Prevention |
Behavioral Health Guidelines
| Health Condition | Clinical Guideline |
|---|---|
ADHD | American Academy of Pediatrics |
Autism | Identification, Evaluation, and Management of Children With Autism Spectrum Disorder American Academy of Pediatrics |
Dementia | Dementia Care Practice Recommendations & Dementia Care Practice Recommendations, 2018 Alzheimer’s Association The Alzheimer’s Association is not responsible for information or advice provided by others, including 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 |
Opioid Use Disorder | The ASAM National Practice Guideline for the Treatment of Opioid Use Disorder, 2020 Focused Update The American Society of Addiction Medicine |
Behavioral Health Resources
| Health Condition | Clinical Guideline |
|---|---|
Depression Screening Tool: PHQ-9 |
Mental Health and Substance Use Disorders Practitioner Training
| Source | Practicioner Training Description |
|---|---|
SAMHSA – Substance Abuse and Mental Health Services Administration | Practitioner Training: SAMHSA’s practitioner training offers tools, training, and technical assistance to practitioners in the fields of mental health and substance use disorders. |
MHFA – Mental Health First Aid |