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Practice and Preventive Health Guidelines

All Blue Cross and Blue Shield of Alabama guidelines are based on the most current scientific evidence, and are adapted from standards published by nationally recognized authorities. In addition, each guideline is reviewed and approved at least biennially by th Blue Cross Quality of Care Committee.

Click on the links below to view the guidelines.

Preventive Health Guidelines

Preventive Health Guidelines are standards of care developed to encourage the appropriate provision of preventive services to patients, according to their age, gender and risk-status. These services include screenings, immunizations and physical examinations.

Perinatal Care

Guidelines for Perinatal Care, 7th edition
Source: American College of Obstetricians and Gynecologists

0-24 Months

Guidelines for Health Supervision of Infants, Children and Adolescents, 2014
Source: American Academy of Pediatrics

2-19 Years

Guidelines for Health Supervision of Infants, Children and Adolescents, 2014
Source: American Academy of Pediatrics

20-64 Years

Summary of Recommendations for Clinical Preventive Services, November 2014
Source: United States Preventive Services Task Force (USPSTF) and American Academy of Family Physicians

65+ Years

Recommendations for Clinical Preventive Services November 2014
Sources: United States Preventive Services Task Force (USPSTF) and American Academy of Family Physicians

All Ages - Immunizations

CDC: Vaccines and Immunizations
Sources: Centers for Disease Control and Prevention and Advisory Committee on Immunization Practices

Practice Guidelines

Practice Guidelines are systematically developed statements that help practitioners make decisions about appropriate healthcare for specific chronic or acute clinical circumstances.

Diabetes Management

Standards of Medical Care in Diabetes 2015
Source: American Diabetes Association

Cardiovascular Disease Management

My American Heart: Statements and Guidelines
Sources: American Heart Association and American College of Cardiology

Attention Deficit/Hyperactivity Disorder Child and Adolescent

ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
Source: American Academy of Pediatrics

ADHD Child and Adolescent Clinical Guideline
Source: American Academy of Child and Adolescent Psychiatry (AACAP) and collaboration with New Directions Behavioral Health®

Adult Major Depression Guideline for Initial Outpatient Treatment of Adults

Major Depression Guideline for Initial Outpatient Treatment of Adults
Source: American Psychiatric Association and collaboration with New Directions Behavioral Health®

The information provided within these guidelines is general information and not a guarantee of payment. Benefits are always dependent on whether the service is medically necessary and within the terms of a Blue Cross and Blue Shield of Alabama Member's Benefit Agreement and Blue Cross and Blue Shield of Alabama policies.