For behavioral health information, please visit our behavioral health page.

Clinical guidelines

The guidelines below are not intended to direct clinical care in any specific circumstances. They are intended to communicate either evidence-based or generally accepted approaches to care. These clinical guidelines are available for download.

• Cardiovascular disease:
  • Hypertension: 2014 evidence-based guideline for the management of high blood pressure in adults. Report from the panel members appointed to the Eighth Joint National Committee (JNC 8)
  • Hyperlipidemia: 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
• Diabetes:
  • Type 1 diabetes in adults: diagnosis and management
  • Diabetes (type 1 and type 2) in children and young people: diagnosis and management
  • Diagnosis and management of type 2 diabetes mellitus in adults
• Depression:
  • Adult depression in primary care
• Maternity:
  • Routine prenatal care
• Respiratory:
  • Diagnosis and Management of Asthma
  • Prevention of acute exacerbations of COPD: American College of Chest Physicians and Canadian Thoracic Society
• Spine & Joint:
  • Adult acute and subacute low back pain
  • Assessment and management of chronic pain
  • American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of osteoarthritis of the knee, 2^nd edition.
• Obesity:
  • Prevention and management of obesity for adults
• Preventive Care:
  • Guide to Clinical Preventive Services, 2014
  • CDC Advisory Committee on Immunization Practice on Vaccine Recommendations of the ACIP
  • Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women: USPSTF recommendation statement.

All guidelines can be obtained from the National Guidelines Clearinghouse.

Clinical practice guidelines may include treatment that is not covered by a member's Moda Health benefits. Benefit information can be obtained by calling Moda Health Customer Service using the phone number printed on the back of the member's identification card.

SBIRT - Screening, Brief Intervention, and Referral to Services

SBIRT is an evidence-based, effective method to intervene in alcohol and drug misuse.