For Providers

Clinical and Preventive Guidelines and Policies

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Clinical Guidelines

If you would like a printed copy of a clinical guideline, please contact your Horizon NJ Health Professional Relations Representative at 1-800-682-9094.

Asthma
National Heart, Lung and Blood Institute Guidelines, for the Diagnosis and Management of Asthma (EPR-3), 2007.

Attention-Deficit/Hyperactivity Disorder
American Academy of Pediatrics (AAP), “Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

Cognitive Impairment
American Academy of Neurology, “Detection, Diagnosis And Management of Dementia

Congestive Heart Failure
Journal of the American College of Cardiology, "2013 ACCF/AHA Guideline for the Management of Heart Failure"

Chronic Kidney Disease
Kidney Disease Improving Global Outcomes 2012, "Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease"

Chronic Obstructive Pulmonary Disease
Global Initiative for Chronic Obstructive Lung Disease, “Global Strategy for the Diagnosis, Management and Prevention of COPD (2011)

Depression
The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults: Third Edition.

Diabetes
American Diabetes Association, "Standards of Medical Care in Diabetes - 2015"

HIV/AIDS
Centers for Disease Control and Prevention, "Recommendations for HIV Prevention with Adults and Adolescents with HIV," 2014

Horizon Behavioral Health
Behavioral Health, "ValueOptions Clinical Criteria"

Hypertension
National Heart, Lung and Blood Institute (NHLBI), “2014 Evidence-Based Guideline for Management of High Blood Pressure in Adults

Lead Case Management
Centers for Disease Control (CDC), “Managing Elevated Blood Lead Levels Among Young Children: Recommendations from the Advisory Committee on Childhood Lead Poisoning Prevention

New Jersey Physician Lead Advisory Committee and New Jersey Department of Health and Senior Services Childhood Lead Screening Requirements; “Medical Evaluation and Follow-Up Recommendations for Asymptomatic from Symptomatic Children

Obesity Pediatric and Adult
National Heart, Lung, and Blood Institute, "Managing Overweight and Obesity in Adults: Systematic Evidence Review from the Obesity Expert Panel," 2013

National Institute of Health “Standards of Medical Care for Adults

Perinatal Care
American College of Obstetricians and Gynecologists (ACOG), Sixth Edition, October 2007

Horizon BCBS of NJ, Clinical Practice Guidelines, Section: Preventive Health Guidelines: “Clinical Practice Guidelines for Prenatal Care 2007

Preventive
American Cancer Society:
Breast Cancer
Cervical Cancer
Colon and Rectal Cancer
Prostate Cancer
Skin Cancer

Centers for Disease Control and Prevention
Pneumococcal Vaccination
Influenza Vaccination
Childhood Vaccination

Sickle Cell Disease
National Heart, Lung, and Blood Institute, "Evidence-Based Management of Sickle Cell Disease: Expert Panel Report, 2014"

Smoking Cessation
U.S. Department of Health and Human Services, "Treating Tobacco Use and Dependence," 2008