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 May 12, 2026.
New:
| Topic | Guideline Link |
| High Risk Medications | Alternative Treatments to Selected Medications in the 2023 American Geriatrics Society Beers Criteria |
| Substance Use Disorder | Assessment and Treatment of Adolescents and Young Adults With Substance Use Disorders and Problematic Substance Use (Excluding Tobacco) |
Reviewed with no changes:
Reviewed with updates:
N/A
Retired:
N/A
The complete list of Clinical Practice Guidelines is located here.
(Guidelines last updated: May 12, 2026, Posted to website: May 19, 2026)
