Preventive Health Guidelines

 

Preventive health guidelines can be beneficial to the provider and his/her patients. Guidelines are based on scientific evidence, review of the medical literature, or appropriately established authority, as cited. All recommendations are based on published consensus guidelines and do not favor any particular treatment based solely on cost considerations.

These guidelines are meant to recommend a standard level of care and do not preclude the delivery of additional preventive services depending on the individual needs of the 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 Preventive Health 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.

 

Adult Preventive Services Recommendations

Passport Health Plan has adopted the guideline for Adult Preventive Services Recommendations from U.S. Preventive Services Task Force.

The Clinical Practice Guideline may be accessed here.

Published: 2013

Revised: August 2021

Passport adopted/reviewed: March 2021, July 2021, August 2021, April 2022

Recent updates recommended include the following:

  • Screening for Hepatitis B (Revised December 2020)
  • Interventions for Tobacco (Revised January 2021)
  • Lung Cancer Screening (Revised March 2021)
  • Screening for Hypertension (Revised April 2021)
  • Colorectal Cancer Screening (Revised May 2021)
  • Weight Gain in Pregnancy (Revised May 2021)
  • Gestational Diabetes: Screening (Revised August 2021)
  • Screening for Prediabetes and Type 2 Diabetes (Revised August 2021)

 

 

Recommendations for Preventive Pediatric Health Care

Passport Health Plan has adopted the guideline for Preventive Pediatric Health Care from Bright Futures/American Academy of Pediatrics.

The Clinical Practice Guideline may be accessed here.

Published: 2013

Revised: March 2021

Passport adopted/reviewed: March 2021, April 2022

 

Recommended Adult Immunization Schedule for ages 19 Years or Older, United States, 2022

Passport Health Plan has adopted the guideline for Adult Immunization Schedule, 19 Years and Older, 2022 from Centers for Disease Control and Prevention.

The Clinical Practice Guideline may be accessed here.

Published: 2014

Revised: February 2022

Passport adopted/reviewed: March 2021, April 2022

 

Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, United States, 2022

Passport Health Plan has adopted the guideline for Recommended Child and Adolescent Immunization Schedule for ages 18 years and younger, 2022 from Centers for Disease Control and Prevention.

The Clinical Practice Guideline may be accessed here.

Published: 2014

Revised: February 2022

Passport adopted/reviewed: March 2021, April 2022