Clinical Practice Guidelines Update - Washington State Local Health Insurance - CHPW
Community Health Plan of Washington Apple Health Medicaid Plan Community Health Plan of Washington Apple Health Medicaid Plan

Clinical Practice Guidelines Update

Community Health Plan of Washington uses guidelines for chronic diseases (including medical and behavioral health conditions) and for preventative services. Reference is made to the pertinent, evidence-based, peer-reviewed guidelines from nationally recognized agencies.

The guidelines are intended to help guide providers in their care of our members including Medicare, Apple Health, Cascade Select, and Behavioral Health Services Only members. The guidelines also ensure that the Clinical Coverage Criteria used for utilization management decisions are aligned with the current evidence-based guidelines.

The following previously approved guidelines have been reviewed and re-approved by the Clinical Quality Improvement Committee (CQIC) on May 21, 2025.

Topic Guideline Link
ADHD ADHD in Children and Adolescents
Assessment of Persons with Disabilities Guidelines for Assessment of and Intervention with Persons with Disabilities
Autism Identification, Evaluation, and Management of Children With Autism Spectrum Disorder
Behavioral Health Clinician Tools Behavioral Health Screening Tools for Adolescents and Children
Behavioral Health Integration Bree Collaborative: Behavioral Health Integration Report and Recommendations
Behavioral Health, Pediatric BLUE MENU OF EVIDENCE-BASED PSYCHOSOCIAL INTERVENTIONS FOR YOUTH
Chronic Kidney Disease VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF CHRONIC KIDNEY DISEASE
Depression – Adult Screening Screening for Depression in Adults
Depression – Major American Psychiatric Association Practice Guideline for the Treatment of Patients With Major Depressive Disorder
Depression – Pregnancy and Postpartum Primary Care Screening for and Treatment of Depression in Pregnant and Postpartum Women (2016)
Depression Following Coronary Events Depression Following Acute Coronary Syndrome Events: Screening and Treatment Guidelines from the AAFP
Diabetes Standards of Medical Care in Diabetes (2025)
Immunizations ACIP Vaccine Recommendations and Guidelines
Osteoporosis and Low Bone Density Screening Osteoporosis to Prevent Fractures: Screening
Otitis Media in Children Acute Otitis Media in Children
Shared Decision Making Bree Collaborative: Shared Decision Making

 

The complete list of Clinical Practice Guidelines is located here.

 

(Guidelines last updated: May 21, 2025)

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