Health Care Links

Clinical Practice and Preventive Health Guidelines

CareSource approves and adopts evidence-based nationally recognized standards and guidelines and promotes them to practitioners to help inform and guide clinical care provided to members. Member health resources are available on the website and cover a broad range of wellness, preventive health and chronic disease management tools. Guidelines are reviewed at least every two years or more often as appropriate, and updated as necessary.

The use of these guidelines allows CareSource to measure their impact on member health outcomes. Review and approval of the guidelines are completed by the Market CareSource Physician Advisory Committee (PAC). The CareSource Enterprise PAC and Quality Enterprise Committee (QEC) are notified of guideline approval. Topics for guidelines are identified through the analysis of member populations demographics and national or state priorities. Guidelines may include, but are not limited to:

  • Behavioral health (e.g., depression)
  • Adult health (e.g., hypertension and diabetes)
  • Population health (e.g., obesity and tobacco cessation)

Guidelines may be prompted to providers through one or more of the following: newsletters, our website, direct mailings, provider manual, and through focused meetings with CareSource Provider Engagement Specialists. Information regarding clinical practice guidelines and other health information are made available to members via member newsletters, the CareSource member website, or upon request.

If you would like more information on CareSource quality improvement, please call Provider Services.

Clinical Practice Guidelines

Health ConditionClinical Guideline
AsthmaGuidelines for the Diagnosis and Management of Asthma (EPR-3)

National Heart, Lung and Blood Institute, National Institutes of Health

Asthma Action Plan

American Academy of Allergy, Asthma & Immunology Asthma Action Plan

Blood Cholesterol2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults

American College of Cardiology, American Heart Association

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 Strategy for the Diagnosis, Management and Prevention of COPD (click to download report)

Updated for 2019. A summary which outlines key revisions begins on page vii.

Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD)

Coronary Artery DiseaseAHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2011 Update

American College of Cardiology, American Heart Association

The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.

DentalADA Clinical Practice Guidelines Handbook

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.

DiabetesStandards of Medical Care in Diabetes – 2019

American Diabetes Association

Diabetes Care, The Journal of Clinical and Applied Research and Education, Volume 42, (Supplement 1), pp. S1-S193.

Heart FailurePart 1: 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

Part 2: 2017 ACC/AHA/HFSA Focused update of the 2013 ACCF/AHA Guideline for the Management of Health Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines & the Heart Failure Society of America

The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.

HIV/AIDSCDC Guidelines and Recommendations for HIV/AIDS

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).

Hepatitis C VirusNavigateHepatitis C Virus Infection Care Pathway

A Report from the American Gastroenterological Association Institute HCV Care Pathway Work Group

Hypertension2017 Guidelines for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

American Heart Association, American College of Cardiology, Centers for Disease Control & Prevention

The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.

Infant MortalityInfant Mortality: Resources for Researchers & Health Care Providers National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health & Human Development.

Courtesy of Eunice Kennedy Shriver National Institute of Child Health & Human Development.

Kidney DiseaseNavigate2012 Clinical Practice Guideline for the Evaluation & Management of Chronic Kidney Disease Kidney Disease Improving Global Outcomes

Kidney Disease Outcomes Quality Initiative (KDOQI) U.S. Commentary on the 2012 Kidney Disease: Improving Global Initiatives (KDIGO) Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease (CKD)

The National Kidney Foundation-KDOQI

Lead ToxicityNavigatePrevention of Childhood Lead Toxicity

American Academy of Pediatrics, Council on Environmental Health

Pregnancy: Postpartum CareOptimizing Postpartum Care

American College of Obstetricians and Gynecologists

The 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.

Preconception & Prenatal CareScientific Articles on Preconception Care and Prenatal Care

National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health & Human Development.

Courtesy of Eunice Kennedy Shriver National Institute of Child Health & Human Development.

Sickle CellEvidence-Based Management of Sickle Cell Disease: Expert Panel Report, 2014

National Heart, Lung and Blood Institute (NHLBI)

Sickle Cell: PediatricManagement of Children with Sickle Cell Disease: A Comprehensive Review of the Literature

American 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.

Zika VirusCDC Guidelines and Recommendations Zika Virus

Centers for Disease Control and Prevention (CDC)

Behavioral Health Clinical Practice Guidelines

Health ConditionClinical Guideline
ADHDADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

American Academy of Family Physicians

AutismPractice Parameter for the Assessment and Treatment of Children and Adolescents with Autism Spectrum Disorder (2014)

The American Academy of Child & Adolescent Psychiatry

Reprinted with permission from the American Academy of Child & Adolescent Psychiatry, ©All Rights Reserved, 2019.

DementiaDementia Care Practice Recommendations (2018)

The Alzheimer’s Association

The 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

DepressionDepression (2015)

British Association for Psychopharmacology

Opioid UseGuideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use, National Practice Guideline

The American Society of Addiction Medicine

Preventive Health Guidelines

Health ConditionClinical Guideline
0-18 Years of Age Immunization ScheduleRecommended Immunization Schedules for Persons Aged 0 Through 18 Years

Centers for Disease Control and Prevention (CDC)

≥ 19 Years of Age Immunization ScheduleRecommended Adult Immunization Schedule

Centers for Disease Control and Prevention (CDC)

≥ 19 Years of Age Immunization ScheduleCDC Adult Immunization Schedule

Centers for Disease Control and Prevention (CDC)

Preventive Guidelines Ages 0-212019 Recommendations for Preventive Pediatric Health Care

American Academy of Pediatrics

USPSTF: A & B RecommendationsU.S. Preventative Services Task Force A and B Recommendations

U.S. Preventive Services Task Force. August 2019

Vision ScreeningFrequency of Ocular Examinations – 2015

American Academy of Ophthalmology

The 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 ConditionClinical Guideline
CancerNational 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 & AdolescentsExpert 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 Care

U.S. Department of Health & Human Services: Office of Minority Health

The 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 ViolenceIntimate Partner Violence

Centers for Disease Control & Prevention

Medline PlusU.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.

Sexually Transmitted Diseases (STD)Sexually Transmitted Diseases Treatment Guidelines (2015)

Centers for Disease Control & Prevention (CDC)

Behavioral Health Resources

Health ConditionClinical Guideline
Opioid Tool KitOpioid Tool Kit
Suicide Prevention Tool KitSuicide Prevention Tool Kit

Mental Health and Substance Use Disorders Practitioner Training

SourcePractitioner Training Description
SAMHSA – Substance Abuse and Mental Health Services AdministrationPractitioner 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 Aidhttps://www.mentalhealthfirstaid.org/