Clinical Practice Guidelines
Clinical practice guidelines are documents which seeks to guide decisions about the diagnosis and treatment of certain health conditions. Clinical practice guidelines are based on scientific evidence, review of the medical literature, or appropriately established authority. All recommendations are based on published agreed on guidelines and do not favor any treatment based solely on cost considerations.
The recommendations for care are suggested as guides for making clinical decisions. Clinicians and their patients must work together to develop individual treatment plans that are tailored to the specific needs and circumstances of each patient.
Passport Health Plan reviews and revises guidelines as clinical evidence is updated. Once the guidelines have been reviewed and modified as needed by a dedicated Quality Improvement Committee, Passport Health Plan providers will be notified of any changes and updates by fax and/or mail.
To request a copy of any guideline, please contact Passport Health Plan Provider Services.
2022 Clinical Practice Guidelines
The guidelines were reviewed and adopted by the Passport Health Plan National Quality Improvement Committee.
Clinical guidelines are not used by Passport to decide benefit coverage. The guidelines are an educational tool to aid clinical decision-making. They are not a standard of care. The physician should adapt the guideline when clinical judgment so indicates.
Acute Stress and Post-Traumatic Stress Disorder (PTSD)
Passport Health Plan has adopted the guideline for Acute Stress and Post-Traumatic Stress Disorder from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed here.
Published: June 2017
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022
Anxiety/Panic Disorder
Passport Health Plan has adopted the guideline for Anxiety/Panic Disorder from the American Psychiatric Association.
The Clinical Practice Guideline may be accessed here.
Published: January 2009
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022
Asthma
Passport Health Plan has adopted the guideline for Diagnosis and Management of Asthma (EPR-3) from the National Institute of Health (NIH): National Heart, Lung, and Blood Institute (NHLBI).
The Clinical Practice Guideline may be accessed here.
Published: July 2007
Revised: December 2020
Passport adopted/reviewed: March 2021, April 2022
Attention Deficit Hyperactivity Disorder (ADHD)
Passport Health Plan has adopted the guideline for Diagnosis, Evaluation, and Treatment of Attention-Deficit Hyperactivity Disorder in Children and Adolescents from the Journal of the American Academy of Pediatrics (AAP).
The Clinical Practice Guideline may be accessed here.
Published: November 2011
Revised: October 2019
Passport adopted/reviewed: March 2021, April 2022
Autism
Passport Health Plan has adopted the guideline for Identification, Evaluation, and Management of Children With Autism Spectrum Disorder from the The American Academy of Pediatrics.
The Clinical Practice Guideline may be accessed here.
Published: January 2020
Revised: N/A
Passport adopted/reviewed: September 2021, April 2022
Bipolar Disorder
Passport Health Plan has adopted the guideline for Bipolar Disorder from the American Psychiatric Association.
The Clinical Practice Guideline may be accessed here.
Published: April 2002
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022
Children with Special Health Care Needs
Passport Health Plan has adopted the guideline for Promoting Health for Children and Youth with Special Health Care Needs from Bright Futures.
The Clinical Practice Guideline may be accessed here.
Published: 2017
Revised: N/A
Passport adopted/reviewed: August 2021, April 2022
Chronic Kidney Disease
Passport Health Plan has adopted the guideline for Evaluation and Management of Chronic Kidney Disease Guideline from the National Kidney Foundation, Kidney Disease Outcome Quality Initiative (NKF KDOQI).
The Clinical Practice Guideline may be accessed here.
Published: March 2014
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022
Chronic Obstructive Pulmonary Disease
Passport Health Plan has adopted the guideline for Global Strategy for Diagnosis, Management, and Prevention of COPD from the Global Initiative for Chronic Obstructive Lung Disease (GOLD).
The Clinical Practice Guideline may be accessed here.
Published: 2011
Revised: November 2021
Passport adopted/reviewed: March 2021, January 2022, April 2022
Depression
Passport Health Plan has adopted the guideline for Treatment of Patients with Major Depressive Disorder from the American Psychiatric Association (APA).
The Clinical Practice Guideline may be accessed here.
Published: October 2010
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022
Diabetes
Passport Health Plan has adopted the guideline for Diabetes from the American Diabetes Association (ADA).
The Clinical Practice Guideline may be accessed here.
Published: January 2015
Revised: December 2021
Passport adopted/reviewed: March 2021, February 2022, April 2022
Heart Failure in Adults
Passport Health Plan has adopted the guideline for Management of Heart Failure from the American College of Cardiology (ACA).
The Clinical Practice Guideline may be accessed here.
You may also visit the web site below for more information.
American College of Cardiology: here.
Published: 2013
Revised: August 2017
Passport adopted/reviewed: March 2021, April 2022
Homelessness - Special Health Care Needs
Passport Health Plan has adopted the guideline for Adapting Your General Recommendations for the Care of Homeless Patients from the National Health Care for the Homeless Council.
The Clinical Practice Guideline may be accessed here.
Published: 2010
Revised: N/A
Passport adopted/reviewed: September 2021, April 2022
Hypertension
Passport Health Plan has adopted the guideline for Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults from the American College of Cardiology.
The Clinical Practice Guideline may be accessed here.
Published: February 2014
Revised: August 2018
Passport adopted/reviewed: March 2021, April 2022
Obesity
Passport Health Plan has adopted the guideline for Comprehensive Medical Care of Patients with Obesity from the American Association of Clinical Endocrinologists (AACE).
The Clinical Practice Guideline may be accessed here.
Published: July 2016
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022
Opioid Management
Passport Health Plan has adopted the guideline for Use of Medications in the Treatment of Addiction Involving Opioids from the American Society of Addiction Medicine (ASAM).
The Clinical Practice Guideline may be accessed here.
Published: June 2015
Revised: January 2020
Passport adopted/reviewed: March 2021, April 2022
Passport Health Plan has adopted the guideline CDC Guideline for Prescribing Opioids for Chronic Pain.
The Clinical Practice Guideline may be accessed here.
Published: March 2016
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022
Perinatal Care
Passport Health Plan has adopted the guideline for Perinatal Care from the American College of Obstetricians and Gynecologists.
The Clinical Practice Guideline may be accessed here - Guidelines can be reviewed by ACOG members only using a secure password.
Published: July 2012
Revised: September 2017
Passport adopted/reviewed: March 2021, April 2022
Pregnancy Management
Passport Health Plan has adopted the guideline for Routine Prenatal and Postnatal Care from Michigan Quality Improvement Consortium.
The Clinical Practice Guideline may be accessed here.
Published: 2018
Revised: June 2020
Passport adopted/reviewed: March 2021, April 2022
Schizophrenia
Passport Health Plan has adopted the guideline for Schizophrenia from the American Psychiatric Association,
The Clinical Practice Guideline may be accessed here.
Published: 2021
Revised: N/A
Passport adopted/reviewed: April 2021, April 2022
Sickle Cell Disease
Passport Health Plan has adopted the guideline for Management of Sickle Cell Disease from the National Heart, Lung, and Blood Institute (NHLBI).
The Clinical Practice Guideline may be accessed here.
Published: December 2014
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022
Substance Abuse Treatment
Passport Health Plan has adopted the guideline for Detoxification and Substance Abuse Treatment from the Substance Abuse and Mental Health Services Administration (SAMHSA).
The Clinical Practice Guideline may be accessed here.
Published: October 2015
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022
Suicide Risk
Passport Health Plan has adopted the guideline for Assessment and Management of Patients at Risk for Suicide from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed here.
Published: May 2019
Revised: N/A
Passport adopted/reviewed: August 2021, April 2022
Trauma-Informed Primary Care
Passport Health Plan has adopted the guideline for Fostering Resilience and Recovery: A Change Package for Advancing Trauma-Informed Primary Care from The National Council for Mental Wellbeing.
The Clinical Practice Guideline may be accessed here.
Published: November 2019
Revised: N/A
Passport adopted/reviewed: August 2021, April 2022