Clinical & Preventative Guidelines
Our Clinical and Preventative Guidelines assist clinicians by providing a framework for the evaluation and treatment of patients. These guidelines have not been developed as, nor should they be construed as absolute standards or minimal levels of care. The physician, in light of the individual circumstances presented by the patient, must make the ultimate judgment regarding the application of any specific mode of treatment. In other words, these guidelines are not intended to replace the clinical judgment of health care professionals.
Chorus Community Health Plan’s Medical Advisory Committee reviews the following guidelines at least every two years or earlier if there are significant evidence-based changes in best practices or updates to reference guidelines.
Immunization Schedule Guidelines
Other Guidelines
- Texas Department of Family and Protective Services
Guidelines for the Medication Utilization Parameters for Children and Adolescents (2016) - American Psychiatric Association (APA)
May, 2010- Practice Guideline for the Treatment of Patients with Major Depressive Disorder - US Preventative Services Task Force
US Department of Health and Human Services Guideline for the Diagnosis and Management of Asthma (2007) and Focused Update (2020) - American College of Obstetricians and Gynecologists (ACOG),
Available for purchase at: Clinical Guidelines for Prenatal Care (7th Edition)
Policies
CCHP's clinical criteria used in UM decision making are available to contracted credentialed providers upon request. Providers may contact CCHP to request a copy of the specific clinical criteria in the following ways:
- Faxing requests to: 414-266-4726.
- Mailing requests to: Chorus Community Health Plans Attn: Manager of Utilization Management P.O. Box 1997, MS6280 Milwaukee, WI 53201-1997.
- Calling CCHP at 877-227-1142, option 2.