Clinical Practice Guidelines Update

Posted on September 5th, 2025 in Bulletin Board by CHPW Admin

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 new and previously approved guidelines have been reviewed and re-approved by the Clinical Quality Improvement Committee (CQIC) on September 3, 2025.

New:

Topic	Guideline Link
Borderline Personality Disorder	Practice Guideline for the Treatment of Patients with Borderline Personality Disorder
Immunizations Pediatric	Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger; 2025 U.S.
Schizophrenia	Practice Guideline for the Treatment of Patients with Schizophrenia

 

Previously Approved:

Topic	Guideline Link
Bipolar Disorder	VA/DoD Clinical Practice Guideline for Management of Bipolar Disorder in Adults
Car Seats	Child Passenger Safety: American Academy of Pediatrics
Childhood Anxiety	Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents with Anxiety Disorders
Childhood Depression	Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents with Major and Persistent Depressive Disorders
Eating Disorders	The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders, Fourth Edition
Heart Failure	2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
LGBTQ Health Care	Bree LGBTQ Health Care Report and Recommendations
Low Back Pain	Bree Collaborative: Spine/Low BackPain Topic
Obesity in Adults	VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF ADULT OVERWEIGHT AND OBESITY
Obsessive Compulsive Disorder	American Psychiatric Association Practice Guideline for the Treatment of Patients With Obsessive Compulsive Disorder Updates 2013
Opioid Prescribing: Long-Term Opioid Therapy Report and Recommendations	Long Term Opioid Use Recommendations
Opioid Use Disorder	Bree: Opioid Use Disorder Treatment Report and Recommendations
Opioids for Pain	CDC Guideline for Prescribing Opioids for Pain United States 2022
Otitis Externa – Acute	Acute Otitis Externa
Panic Disorder	American Psychiatric Association Practice Guideline for the Treatment of Patients with Panic Disorder
Pediatric Collaborative Care	Clinical Update: Collaborative Mental Health Care for Children and Adolescents in Pediatric Primary Care
Preventive Services, Adult	Adult Preventive Health Care Schedule: Recommendations from the USPSTF (as of August 16, 2019)
Preventive Services, Postpartum	Postpartum Care: An Approach to the Fourth Trimester
Preventive Services: Preconception Care	Preconception Care (Position Paper)
Preventive Services: Prenatal Care	Update on Prenatal Care (Includes USPSTF recommendations)
Sleep Apnea in Children	American Academy of Pediatrics current Clinical Practice Guideline: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
Substance Use Disorder	Practice Guideline for the Treatment of Patients with Substance Use Disorders, Second Edition (2006)
Vaginal Birth After Cesarean	Vaginal Birth After Cesarean
Venous Thromboembolism	Deep Venous Thrombosis and Pulmonary Embolism: Current Therapy

 

The complete list of Clinical Practice Guidelines is located here.

(Guidelines last updated: September 5, 2025)