Providers

Clinical Guidelines

Clinical Practice Guidelines

Position Statement: Health Choice Utah adopts guidelines to help practitioners and members make decisions about appropriate care for specific medical and behavioral health conditions. The following guidelines are based on scientific evidence, and where evidence is lacking, on a consensus of panel experts, and are supported by Health Choice Utah. Guidelines are not a substitute for professional medical advice.

Behavioral Health Guidelines

Category	Resource
Depression	APA Clinical Practice Guideline for the Treatment of Depression
Perinatal Depression	Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum
Attention Deficit Hyperactivity Disorder (ADHD)- Pediatrics	Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
Attention Deficit Hyperactivity Disorder (ADHD)- Adults	European Consensus Statement for the Diagnosis, Management, and Treatment of Adult ADHD
Substance Use Disorder	American Academy of Family Physicians Management of Substance Use Disorders
Substance Use Disorder – Level of Care Criteria	American Society of Addition Medicine (ASAM) Level of Care Placement Criteria
Opioid Prescribing	CDC Guideline for Prescribing Opioids for Chronic Pain

Medical Guidelines

Category	Resource
Asthma	Global Initiative for Asthma (GINA) Report, Global Strategy for Asthma Management and Prevention
Congestive Heart Failure	Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Failure Society of America
Hypertension	Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report from the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
Low Back Pain	AAFP Clinical Recommendations- Imaging for Low Back Pain- Choosing Wisely®
Diabetes and Kidney Disease	Kidney Disease Outcomes Quality Initiative (KDOQI) Clinical Practice Guideline for Diabetes and Chronic Kidney Disease

Preventive Health Guidelines - Child

Category	Resource
Immunizations- Pediatric	American Academy of Pediatrics Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger
Well Child Visits - Pediatric	American Academy of Pediatrics (AAP) Recommendations for Preventive Pediatric Health Care
Well Child Visits - Pediatric	Periodicity Schedule

Preventive Health Guidelines - Adult

Category	Resource
Immunizations	Recommended Immunization Schedule for Adults Aged 19 Years and Older, United States
Adult Preventive Services	United States Preventive Services Task Force (USPSTF) Recommendations for Primary Care Practice, Adult with Grade of A or B