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Clinical Practice Guidelines

UnitedHealthcare has identified and adopted evidence-based clinical guidelines to guide our quality and health management programs. Click here (PDF 220.65 KB) to view the guidelines. 

Medical Technology Assessment Committee Approval - May 5, 2016
Provider Advisory Committee Approval - June 15, 2016

 

AZ Behavioral Health

AHCCCS Behavioral HealthTool Kit : Childhood & Adolescent Depression (PDF 691.44 KB)

The clinical tool kit is intended to assist the PCP in assessing the needs of the child/adolescent, ranging in age from 8 through 17, regarding depression and decisions regarding health care services provided by the PCP or subsequent referral to the RHBA if clinically indicated.

AHCCCS Behavioral Health Tool Kit : Management of Adult Anxiety (PDF 734.4 KB)

The clinical tool kit is intended to assist the PCP in assessing the needs of the adults ages 18 and older, regarding anxiety and decisions regarding health care services provided by the PCP or subsequent referral to the RHBA if clinically indicated.

AHCCCS Behavioral HealthTool Kit : Management of Adult ADHD (PDF 752.73 KB)

The clinical tool kit is intended to assist the PCP in assessing the needs of the adults age 18 and over regarding depression and decisions regarding health care services provided by the PCP or subsequent referral to the RHBA if clinically indicated.

AHCCCS Behavioral Health Tool Kit for Management of Adult Depression (PDF 733.12 KB)

The clinical tool kit is intended to assist the PCP in assessing the needs of adults age 18 and over regarding depression and decisions regarding health care services provided by the PCP or subsequent referral to the RHBA if clinically indicated.

AHCCCS Behavioral Health Tool Kit: Management of Adult Postnatal Depression (PDF 552.58 KB)

The clinical tool kit is intended to assist the PCP in assessing the postnatal needs of women regarding depression and decisions regarding health care services provided by the PCP or subsequent referral to the RHBA if clinically indicated.

AHCCCS Behavioral Health Tool Kit : Management of Childhood & Adolescent Anxiety (PDF 742.97 KB)

The clinical tool kit is intended to assist the PCP in assessing the needs of the child/adolescent, ranging in age from 8 through 18, regarding anxiety and decisions regarding health care services provided by the PCP or subsequent referral to the RHBA if clinically indicated.

AHCCCS Behavioral Health Tool Kit : Management of Childhood & Adolescent Attention-Deficit/Hyperactivity Disorder (ADHD) (PDF 582.87 KB)

The clinical tool kit is intended to assist the PCP in assessing the needs of the child/adolescent, ranging in age 5 years old to 17 years old regarding ADHD and decisions regarding health care services provided by the PCP or subsequent referral to the RHBA if clinically indicated.

 

CRS Guidelines

CRS Behavioral Health – Residential Facility, Without Room and Board Child/Adolescent (Level II Residential Treatment) Practice Guideline (PDF 112.78 KB). This guideline outlines the management of Level II Residential Treatment which adheres to the Arizona Vision twelve principles for children up to age 18.

CRS Behavioral Health – Residential Facility, Without Room and Board Adult (Level II Residential Treatment) Practice Guideline (PDF 119.9 KB). This guideline outlines the management of Level II Residential Treatment which adheres to the Guiding Principles for Recovery Oriented Adult Behavioral Health Services and Systems.

CRS Use of Botulinum Toxin (PDF 98.2 KB) 
This guideline outlines the management of members with spasticity using Botulinum Toxin as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona. Clinical Guidelines are used to create best practices for the Multispecialty and Interdisciplinary.

CRS Cleft Lip – Cleft Palate (PDF 233.55 KB) 
This guideline outlines the management of patients cleft lip and cleft palate as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.

CRS Cystic Fibrosis (PDF 49.13 KB)
This guideline outlines the management of patients with cystic fibrosis as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.

CRS Deep Brain Stimulation (PDF 70.64 KB)
This guideline outlines the management of patients are being considered for a Deep Brain Stimulator as required by the Children's Rehabilitative Services Program(CRS), Arizona Health Care Cost Containment System, State of Arizona.

CRS Distraction Osteogenesis (PDF 64.06 KB) 
This guideline outlines the management of members with leg length discrepancy that are being considered for Ilizarov distraction osteogenesis or other leg lengthening procedure as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.

CRS Epilepsy Surgery (PDF 54.09 KB) 
This guideline outlines the management of patients with treatment resistant epilepsy who require surgery for seizure control as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.

CRS Implantable Bone Conduction Cochlear Implant 5-7-2015 (PDF 97.35 KB)
This guideline outlines the management of individuals with hearing loss whose treatment includes implanted bone conductive hearing aids(auditory osseointegrated device) or cochlear implants as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.

CRS Maxillo Mandibular Osteodistraction (PDF 92.32 KB) 
This guideline outlines the management of children with severe maxillary or mandibular deformity who require Maxillo Mandibular Osteodistraction as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.

CRS Metabolic (PDF 94.35 KB)
This guideline outlines the management of patients with metabolic disease as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.

CRS Neurofibromatosis (PDF 113.3 KB)
This guideline outlines the management of patients with neurofibromatosis as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.
CRS Sickle Cell Disease (PDF 1.09 MB)
This guideline outlines the management of patients with sickle cell disease as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.

CRS Spina Bifida (PDF 38.7 KB)
This guideline outlines the management of patients with spina bifida as required by the Children's Rehabilitative Services Program, Arizona Health Care Cost Containment System, State of Arizona.