Practice Guidelines

Date: 07/10/19

Coordinated Care’s preventive care and clinical practice guidelines are based on the health needs of our members, and opportunities identified by our Quality Improvement (QI) Program. Our QI Committee adopts and synthesizes preventive and clinical practice guidelines that are published by nationally recognized organizations, government institutions and statewide initiatives. We encourage providers to use these guidelines as a basis for developing personalized treatment plans for our members and to aid members in making decisions about their healthcare.

Adherence to these guidelines is measured by monitoring HEDIS-related elements, and through random audits of ambulatory medical records. Our preventive care and clinical practice guidelines are intended to augment—not replace—sound clinical judgment. Guidelines are reviewed and updated annually.

For the most up-to-date version of preventive care and clinical practice guidelines, go to our website Practice Guidelines, or contact Provider Services at 1-877-644-4613 to receive a hard copy.