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.

Molina Complete Care (MCC) 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. MCC providers will be notified of any changes and updates by fax and/or mail.

To request a copy of any guideline, please contact your MCC Provider Services.

 

2021 Preventive Health Guidelines

The guidelines below were reviewed and adopted by the Molina Complete Care National Quality Improvement Committee. Committee approval dates are shown for 2015 and beyond. All guidelines are reviewed monthly by the National Quality Improvement Committee and are approved annually unless otherwise noted. 

Clinical guidelines are not used by MCC 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

Molina Complete Care 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

MCC adopted/reviewed: March 2015, March 2016, October 2017, March 2018, April 2019, March 2020, March 2021, July 2021

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

Molina Complete Care 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

MCC adopted/reviewed: March 2015, March 2016, October 2017, March 2018, April 2019, March 2020, March 2021

 

Recommended Adult Immunization Schedule for ages 19 Years or Older, United States, 2021

Molina Complete Care has adopted the guideline for Adult Immunization Schedule, 19 Years and Older, 2021 from Centers for Disease Control and Prevention.

The Clinical Practice Guideline may be accessed here.

Published: 2014

Revised: February 2021

MCC adopted/reviewed: March 2015, March 2016, March 2017, March 2018, April 2019, March 2020, March 2021

 

Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, United States, 2021

Molina Complete Care has adopted the guideline for Recommended Child and Adolescent Immunization Schedule for ages 18 years and younger, 2021 from Centers for Disease Control and Prevention.

The Clinical Practice Guideline may be accessed here.

Published: 2014

Revised: February 2021

MCC adopted/reviewed: March 2015, March 2016, March 2017, March 2018, April 2019, March 2020, March 2021