Behavioral health guidelines

The following behavioral health clinical practice guidelines are a resource for behavioral healthcare providers.

Attention deficit/hyperactivity disorder
American Academy of Pediatrics
Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents , PDF opens new window

Autism
American Academy of Pediatrics
Identification, Evaluation, and Management of Children with Autism Spectrum Disorder , PDF opens new window

Bipolar disorder
Department of Veterans Affairs, Department of Defense
Management of Bipolar Disorder in Adults (BD) , PDF opens new window

General anxiety
American Family Physician
Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults , PDF opens new window

Major depressive disorder
American Psychiatric Association
Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts (2019) , PDF opens new window

Oppositional defiant disorder
American Academy of Child and Adolescent Psychiatry
ODD: A Guide for Families (2009) , PDF opens new window

Practice Parameter for the Assessment and Treatment of Children and Adolescents With Oppositional Defiant Disorder , PDF opens new window

Post-traumatic stress disorder
Department of Veterans Affairs, Department of Defense
VA/DOD Clinical Practice Guidelines for the Management of Posttraumatic Stress Disorder and Acute Stress , PDF opens new window

Schizophrenia in adults
American Psychiatric Association
The American Psychiatric Association Practice Guideline for the Treatment of Schizophrenia , PDF opens new window

Substance use disorders in adults
Department of Veterans Affairs, Department of Defense
VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorders , PDF opens new window

Substance use disorders in children and adolescents
American Academy of Child and Adolescent Psychiatry
Practice Parameter for the Assessment and Treatment of Children and Adolescents with Substance Use Disorders , PDF opens new window

Suicidal behaviors
Department of Veterans Affairs, Department of Defense
VA/DoD Clinical Practice Guideline for the Assessment and Management of Patients at Risk for Suicide , PDF opens new window

Transgender (New December 2022)
American Psychological Association
APA Guidelines for Psychological Practice with Sexual Minority Persons , PDF opens new window

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.

Antidepressant Medication Management (AMM), PDF opens new window

Coordination of Care for Humana-covered Patients, PDF opens new window

Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA), PDF opens new window

Follow-Up After Hospitalization for Mental Illness (FUH), PDF opens new window

Follow-Up Care for Children Prescribed ADHD Medication (ADD), PDF opens new window

Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET), PDF opens new window

Plan All-Cause Readmissions (PCR), PDF opens new window

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.

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