2025 Clinical Practice Guidelines
Clinical practice guidelines are designed to guide decisions about diagnosing and treating specific health conditions. These guidelines are based on scientific evidence, medical literature reviews or established authority. All recommendations are grounded in published guidelines and do not prioritize treatments based solely on cost.
These guidelines serve as a guide for clinical decision-making, but clinicians and members must collaborate to create individualized treatment plans tailored to each member's unique needs and circumstances.
Passport regularly reviews and updates these guidelines as new clinical evidence emerges. After review and necessary modifications by the National Quality Improvement Committee, providers are notified of any changes via fax and/or mail.
The guidelines listed below were reviewed and adopted by the Passport’s National Quality Improvement Committee, with approval dates indicated for 2023 and beyond. All guidelines undergo quarterly reviews and receive annual approval unless otherwise noted.
It is important to note that Passport does not use clinical guidelines to determine benefit coverage. Instead, they are educational tools to aid clinical decision-making and are not considered a standard of care. Physicians should adapt the guidelines based on their clinical judgment.
Acute Stress and Post-Traumatic Stress Disorder (PTSD)
Passport 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.
Passport approved:January 2023, February 2024, January 2025, May 2025
You may also visit the web site below for more information.
Passport has adopted the guideline for Assessment and Treatment of Children and Adolescents from the American Academy of Child & Adolescent Psychiatry.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport has adopted the guideline for Generalized Anxiety and Panic Disorder from American Family Physician.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport 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.
Passport approved: January 2023, February 2024, January 2025
Attention Deficit Hyperactivity Disorder (ADHD)
Passport 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.
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the guideline for Identification, Evaluation and Management of Children with Autism Spectrum Disorder from The American Academy of Pediatrics.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the guideline for Bipolar Disorder from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
Cancer Treatment and Prevention
Passport has adopted the guideline for Cancer from The National Comprehensive Cancer Network® (NCCN®).
Passport approved: January 2025
Children with Special Health Care Needs
Passporthas adopted the guideline for Access to Services for Children and Youth with Special Health Care Needs from The American Academy of Pediatrics.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
Passport 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.
Passport approved: January 2023, February 2024, January 2025
Chronic Obstructive Pulmonary Disease
Passport has adopted the guideline for Global Strategy for Diagnosis, Management and Prevention of COPD from the Global Initiative for Chronic Obstructive Lung Disease (GOLD).
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the guideline for Dementia from the Alzheimer’s Association.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport has adopted the guideline for VA/VOD Clinical Practice Guideline for the Management of Major Depressive Disorder from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the guideline for Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts from the American Psychological Association.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Diabetes Treatment and Prevention
Passport has adopted the guideline for Diabetes from the American Diabetes Association (ADA).
The Clinical Practice Guideline may be accessed [LINK] [link URL: diabetesjournals.org/]
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the guideline for Elder Abuse from the National Institute on Aging.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: August 2025
Passport has adopted the guideline for Management of Heart Failure from the American College of Cardiology (ACA).
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
You may also visit the web site below for more information.
Passport has adopted the clinical practice guideline for Hepatitis C from the Infectious Diseases Society of America.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Homelessness – Special Health Care Needs
Passport has adopted the guideline for Adapting Your General Recommendations for the Care of Homeless Members from the National Health Care for the Homeless Council.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
You may also visit the web site below for more information.
HIV/AIDS Treatment and Prevention
Passport has adopted the guideline for Use of Antiretroviral Agents in Adults and Adolescents with HIV from the Department of Health and Human Services.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: September 2024, January 2025
Passport has adopted the guideline for HIV/AIDS from the National Center for Biotechnology Information.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: September 2024, January 2025
You may also visit the web site below for more information.
Passport 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.
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the clinical practice guidelines for Incontinence from the American Urological Association. Find them here:
Published: 2019, July 2024, 2017
Revised: July 2024, July 2024, 2023
Passport approved: May 2025
Long-Term Services and Supports (LTSS)
Passport has adopted the clinical practice guideline for Long-Term Services and Supports (LTSS) from Centers for Medicare and Medicaid Services (CMS).
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport has adopted the guideline for Osteoporosis from American College of Physicians.
The Clinical Practice Guideline may be accessedHERE.
Passport approved: May 2025
Passport has adopted the clinical practice guideline for Parkinson’s Disease from the American Physical Therapy Association.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport has adopted the clinical practice guideline for Parkinson’s Disease from the American Family Physician.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Perinatal & Postpartum Care
Passport has adopted the guideline for Perinatal Care from the American College of Obstetricians and Gynecologists.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the guideline for Management of Pregnancy from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport has adopted the guideline for Postpartum Care from the American College of Obstetricians and Gynecologists.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2025
Passport has adopted the guideline for Pressure Ulcers from the National Pressure Injury Advisory Panel.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: August 2025
Passport has adopted the guideline for Schizophrenia from the American Psychiatric Association.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
Passport 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.
Passport approved: January 2023, February 2024, January 2025
You may also visit the websites below for additional information on Sickle Cell Disease:
Passport has adopted the guideline for Alcohol Withdrawal Management from the American Society of Addiction Medicine (ASAM).
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport has adopted the guideline for Benzodiazepine Tapering from the American Society of Addiction Medicine (ASAM).
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport has adopted the guideline for Stimulant Use Disorder from the American Society of Addiction Medicine (ASAM).
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport has adopted the guideline for Management of Substance Use Disorder (SUD) from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport has adopted the guideline for Pharmacological Treatment of Members with Alcohol Use Disorder from The American Psychiatric Association.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Passport 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 accessedHERE.
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the guideline for Prescribing Opioids for Chronic Pain from the Centers for Disease Control and Prevention.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the guideline for Assessment and Management of Members at Risk for Suicide from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, July 2024, January 2025
Trauma-Informed Primary Care
Passport has adopted the guideline for Trauma Informed Care from American Psychological Association.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025, October 2025
Passport has adopted the guideline for Comprehensive Medical Care of Members with Obesity from the American Association of Clinical Endocrinologists (AACE).
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2024, January 2025
Passport has adopted the guideline for Weight Management from:
The American Academy of Pediatrics (AAP)
The Journal of Obesity and Metabolic Syndrome
The National Institute of Health (NIH)
The American Psychological Association (APA)
The Clinical Practice Guidelines may be accessed below
Passport approved: January 2025
Passport approved: January 2025
Passport approved: January 2025
You may also visit the websites below for additional information on Weight Management:
2025 Preventive Health Guidelines
Preventive health guidelines can be beneficial for both providers and members. These guidelines are based on scientific evidence, reviews of medical literature or established authority. All recommendations are grounded in published consensus guidelines and do not prioritize treatments based solely on cost considerations.
These guidelines aim to recommend a standard level of care but do not preclude the delivery of additional preventive services based on the individual needs of each member.
Passport regularly reviews and updates these guidelines as new clinical evidence emerges. After review and necessary modifications by the National Quality Improvement Committee, providers are notified of any changes via fax and/or mail.
The guidelines listed below were reviewed and adopted by the Passport National Quality Improvement Committee, with approval dates indicated for 2023 and beyond. All guidelines undergo quarterly reviews and receive annual approval unless otherwise noted.
It is important to note that Passport does not use preventive health guidelines to determine benefit coverage. Instead, they are educational tools to aid clinical decision-making and are not considered a standard of care. Physicians should adapt the guidelines based on their clinical judgment.
Adult Preventive Services Recommendations
Passport has adopted the guideline for Adult Preventive Services Recommendations from U.S. Preventive Services Task Force.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2023, April 2024, May 2024, January 2025, May 2025, August 2025
Recent updates recommended include the following:
Passport has adopted the guideline for Adult Vision Screening from the American Optometric Association.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2025
Passport has adopted the guideline for Dental Health from The American Dental Association (ADA).
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2025
Passport has adopted the guideline for Fall Risk Reduction from the Centers for Disease Control and Prevention (CDC)- Stopping Elderly Accidents, Deaths, & Injuries (STEADI) Initiative.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: May 2025
Pediatric Preventive Services Recommendations
Passport has adopted the guideline for Preventive Pediatric Health Care from Bright Futures/American Academy of Pediatrics.
The Clinical Practice Guideline may be accessed HERE.
Passport approved:January 2023, April 2023, February 2024, January 2025
Recent updates recommended include the following:No current updates
Passport has adopted the guideline for Pediatric/Adolescent Preventive Services Recommendations from U.S. Preventive Services Task Force.
The Clinical Practice Guideline may be accessed HERE.
Passport approved:August 2024, July 2024, January 2025
Recent updates recommended include the following:
Pediatric Vision Screening
Passport has adopted the guideline for Pediatric Vision Screening from the American Optometric Association.
The Clinical Practice Guideline may be accessed HERE.
Passport approved:January 2025
Recommended Adult Immunization Schedule for ages 19 Years or Older, United States, 2025
Passport has adopted the guideline for Adult Immunization Schedule, 19 Years and Older, 2025 from Centers for Disease Control and Prevention.
The Clinical Practice Guideline may be accessed HERE.
Passport approved:January 2023, February 2023, February 2024, April 2024, July 2024, October 2024, January 2025, August 2025, October 2025
Recent updates recommended include the following:
Recommended Child and Adolescent Immunization Schedule for ages 18 Years and Younger, United States, 2025
Passport has adopted the guideline for Recommended Child and Adolescent Immunization Schedule for ages 18 years and younger, 2025 from Centers for Disease Control and Prevention.
The Clinical Practice Guideline may be accessed HERE.
Passport approved: January 2023, February 2023, February 2024, July 2024, October 2024, January 2025, August 2025, October 2025
Recent updates recommended include the following: