Clinical & Preventative Guidelines
Clinical and Preventative Guidelines
At Chorus Community Health Plans (CCHP) 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.
CCHP'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
Stay current.
The Wisconsin Department of Health Services (DHS) provides immunization schedules recommended by the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP). These guidelines help ensure that children and adults receive the right vaccines at the right time.
Learn more about the AAP and AAFP recommended immunization schedules through Wisconsin DHS.
The Vaccines for Children (VFC) program helps make sure kids get the protection they need. Children 18 years old and younger can receive free or low‑cost vaccines if they’re enrolled in Medicaid. CCHP members—whether through BadgerCare Plus or Care4Kids—are eligible to get their routine vaccines through the VFC program.
Learn more about how the VFC program can help keep our members healthy.
Access up-to-date immunization records on the Wisconsin Immunization Registry (WIR).
Wisconsin Immunization Registry
Additional Guidelines
In addition to immunization schedules, we've listed other key health guidelines to ensure safety and quality care.
US Preventive Services Task Force (USPSTF) Grade A&B Recommendations
American Academy of Pediatrics Recommendations for Preventative Pediatric Health Care
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:
Call CCHP at 877-227-1142, option 2.
Fax a request to: 414-266-4726.
Mail a request to:
Chorus Community Health Plans
Attn: Manager of Utilization Management
PO Box 1997, MS6280
Milwaukee, WI 53201-1997