Community Health Plan of Washington uses guidelines for chronic diseases (including medical and behavioral health conditions) and for preventive 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 updated and re-approved by the Clinical Quality Improvement Committee (CQIC) on January 29, 2024. In addition, CQIC CQIC adopted four new CPGs, as noted below.
The complete list of Clinical Practice Guidelines is located here.
(Guidelines last updated: January 29, 2024)
