
Behavioral health guidelines are evidence-based treatment options for common behavioral health conditions. Derived from credible sources and reviewed semiannually by Humana psychiatrists who support the treatment options, these guidelines are a means to standardize treatment options with the most effective interventions available.
The following behavioral health clinical practice guidelines are a resource for behavioral healthcare providers.
Attention deficit/hyperactivity disorder
American Academy of Pediatrics
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Autism
American Academy of Pediatrics
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Bipolar disorder
Department of Veterans Affairs, Department of Defense
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General anxiety
American Family Physician
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Major depressive disorder
American Psychiatric Association
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Oppositional defiant disorder
American Academy of Child and Adolescent Psychiatry
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Post-traumatic stress disorder
Department of Veterans Affairs, Department of Defense
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Schizophrenia in adults
American Psychiatric Association
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Substance use disorders in adults
Department of Veterans Affairs, Department of Defense
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Substance use disorders in children and adolescents
American Academy of Child and Adolescent Psychiatry
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Suicidal behaviors
Department of Veterans Affairs, Department of Defense
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Transgender (New December 2022)
American Psychological Association
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Health Effectiveness Data and Information Set (HEDIS®) tip sheets
Humana is committed to supporting you in improving patient health. The tip sheets below describe HEDIS® measures for behavioral health. Please take a moment to review the eligibility requirements, assessment measures and best practices for each measure.
Thank you for the continued care you provide to your Humana-covered patients.
Humana periodically monitors compliance with nationally recognized clinical practice guidelines.
Humana 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 physician’s or other healthcare professional's clinical judgment and is not always applicable to an individual. Therefore, the physician or healthcare 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 physician or other healthcare professional regarding medically available treatment options for patients. Publication of these guidelines is not a promise or guarantee of coverage. Individuals should review their coverage to determine benefits.
Links to other websites are provided for your convenience only and do not constitute or imply endorsement by Humana of these sites, products or services described on these sites, or of any other material contained therein. Humana disclaims responsibility for their content and accuracy.