Clinical Practice Guidelines
Keystone First has adopted clinical practice guidelines for use in guiding the treatment of plan members, with the goal of reducing unnecessary variations in care. The following clinical practice guidelines represent current professional standards, supported by scientific evidence and research. These guidelines are intended to inform, not replace, a physician's clinical judgment. The physician remains responsible for determining applicable treatment for each individual.
Asthma
Behavioral health
- Diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD) for Children and Adolescents (PDF)
- Treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) for Children and Adolescents (PDF)
- Primary Care Diagnosis and Management of Adult Depression (PDF)
- Practice Parameter for Assessment and Treatement of Children and Adolescents with Oppositional Defiant Disorder (PDF)
Cholesterol
Chronic obstructive pulmonary disease (COPD)
Heart failure
Hypertension
Preventive health
- Recommendations for Preventive Pediatric Health Care: Bright Futures Periodicity Schedule (PDF)
- Adolescent and Young Adult Health Risk Behavior Assessment (PDF)
- Routine Preventive Services for Infants and Children (Birth - 24 Months) (PDF)
- Routine Preventive Services for Children and Adolescents (Ages 2-21) (PDF)
- Adult Preventive Services (Ages 18-49) (PDF)
- Adult Preventive Services (Age ≥ 50) (PDF)
- Recommended Immunization Schedules (PDF)
- Sexually Transmitted Diseases (PDF)
- Tobacco Use in Children and Adolescents: Primary Care Interventions
Routine prenatal and postnatal care
Upper Respiratory Tract Infections