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CareFirst CHPMD Members: Keep your info current. Keep yourself insured. Medicaid renewals won’t be automatic this year. Check in to make sure your contact information is up to date to receive important notices on any changes to your health insurance. To update your address, phone number or email, log in to your MHC online account.  If you need assistance, call MHC at 1-855-642-8572.

CareFirst CHPMD Providers: Encourage your patients to update their information. Find out how you can help your patients renew their coverage here.

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Clinical Practice Guidelines

CareFirst Community Health Plan Maryland's Clinical Practice Guidelines are designed to assist clinicians with the treatment of the most common medical issues by providing an analytical framework for evaluation and treatment. Please find below the list of our guidelines with links to the standards adopted by nationally recognized organizations.
Conditions Clinical Practice Guidelines
Acute MI 2014 AHA/ACC Guideline for the Managment of Patients with Non-ST-Elevation Acute Coronary Syndromes
  American Heart Association 2016 focused update on Duration of Dual Antiplatelet Therapy in CAD
Preventative Care: Adults (21 & over) U.S. Preventative Services Task Force 2024
Cancer Prevention and Early Detection Guidelines American Cancer Society Prevention and Early Detection Guidelines

Preventive Care: Adult Immunization (19 years old and over)

CDC Adult Immunizations updated June 27, 2024
 Asthma NIH National Heart, Lung, and Blood Institute: Asthma Management Guidelines: Focused Updates 2020
 Attention Deficit Hyperactivity Disorder (ADHD) American Academy of Pediatrics Updated ADHD Guidelines 2019
Cardiovascular Disease – Secondary Prevention AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and Other Atherosclerotic Vascular Disease_2011 with 2015 Correction
Chlamydia U.S. Preventive Services Task Force: Chlamydia and Gonorrhea: Screening: 2021
Cholesterol Management 2018 AHA et al Guideline on the Management of Blood Cholesterol
Chronic Heart Failure 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure
Chronic Obstructive Pulmonary Disease Global Strategy for Prevention, Diagnosis, Management and Pevention of COPD 2024
Use of Opioid Analgesics in the Treatment of Chronic Pain CDC CPG for Prescribing Opioids for Pain in US 2022
Chronic Stable Angina 2012 ACCF/AHA et al Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease
  2012 ACCF/AHA et al Management of Stable Ischemic Heart Disease_2014 & 2016 Focused Updates
Depression, Adolescent American Academy of Pediatrics: Guidelines for Adolescent Depression in Primary Care: Part 1_ 2018
  American Academy of Pediatrics: Guidelines for Adolescent Depression in Primary Care: Part 2_ 2018
Depression, Adult ICSI Depression, Adult in Primary Care 2016
  Annals of Internal Medicine Acute Phase of MDD 2023
Diabetes ADA Standards of Care in Diabetes 2024
Human Immunodeficiency Virus (HIV) Preexposure Prophylaxis for the Prevention of HIV Infection in the US-2021
  HIV Nexus: CDC Resources for Clinicians
Hypertension 2020 International Society of Hypertension Global Hypertension Practice Guidelines
Lead Exposure 2020 Maryland Guidelines for the Assessment and Management of Childhood Lead Exposure
Pediatric Allergy American Academy of Allergy, Asthma, & Immunology
Perinatal Care ACOG Guidelines for Perinatal Care – 8th Edition
Preventative Care: Pediatric/Adolescent Periodicity Schedule (0-21 years old) American Academy of Pediatrics and Bright Futures
  Maryland Healthy Kids/EPSDT Program
  Maryland Healthy Kids Preventive Health Schedule 2024
  American Academy of Pediatrics Bright Futures Tool Kit & Resources
Preventative Care Pediatric/Adolescent Immunization Schedule (0-18 years old) Maryland Department of Health 2023 Recommended Childhood Imms Schedule
Sickle Cell Anemia American Society of Hematology: CPGs on Sickle Cell Disease
  ASH: Guideline for sickle cell disease; cardiopulmonary and kidney disease_2019
  ASH: Guidelines for sickle cell disease; prevention, diagnosis, and treatment of cerebrovascular disease in children and adults_2020
  ASH: Guidelines for sickle cell disease; management of acute and chronic pain
  ASH: Guidelines for sickle cell disease; stem cell transplantation_2021
  ASH: Guidelines for sickle cell disease; transfusion support_2020
Obesity (Adult) AACE & ACE Comprehensive CPG for Medical Care of Patients with Obesity
  AHA Guideline for the Management Of Overweight and Obesity in Adults 2013
  AGA CPG on Intragastric Balloons in the Management of Obesity 2021
  Obesity & CV Disease: A Scientific Statement from the AHA
Obesity (Child & Adolescent) USPSTF 2024 Child and Adolescent Obesity
  AAP: CPG for the Eval and Treatment of Children & Adolescents with Obesity 2023
Autism AAP: Identification, Evaluation, and Management of Children with Autism Spectrum Disorder_2020
Care for Transgender and Gender Diverse People MDH Medicaid Gender-Affirming Treatment Services
  Standards of Care for the Health of Transgender and Gender Diverse People, Version 8_2022

 

Note: CareFirst Community Health Plan Maryland (CareFirst CHPMD) publishes medical guidelines from a number of well-respected national sources. These guidelines may have some differences in recommendations. Information contained in the guidelines is not a substitute for a health care professional’s clinical judgment and is not always applicable to an individual. Therefore, the health care professional and patient should work in partnership in the decision-making process regarding the patient’s treatment. Furthermore, using this information will not guarantee a specific outcome for each patient. None of the information in the guidelines is intended to interfere with or prohibit clinical decisions made by a treating health care professional regarding medically available treatment options for patients.