Clinical Practice Guidelines

All Medicaid organizations, including CHA are required to adopt, disseminate, and apply clinical practice guidelines according to federal regulations. These guidelines should be based on valid and reliable clinical evidence from highly credible and respected sources and have gone through extensive vetting and peer review. The guidelines are intended to inform clinical decision making for CHA and our providers. All have been approved by either the Utilization Review, Quality Management, or Pharmacy and Therapeutics Committee. They are posted on our website under provider resources for your reference.

• American Diabetes Association
• Bright Futures
• Center for Disease Control, Guideline for Prescribing Opioids for Chronic Pain
• GOLD Initiative for Obstructive Lung Disease
• Milliman CareWebQI
• National Comprehensive Cancer Network
• United States Preventive Services Task Force

CHA will be adopting guidelines addressing behavioral health and substance use disorders later this year. If you have questions or concerns or would like to suggest a guideline be added, Contact Dr David Shute, DavidS@cascadecomp.com