Guidelines adopted by Humana
Clinical practice guidelines are resources* for Humana participating physicians and other Humana-contracted healthcare professionals. Humana has adopted the following guidelines:
Adult immunizations
Centers for Disease Control and Prevention (CDC)
Asthma care
GINA ©2023 Global Initiative for Asthma, reprinted with permission. Available from www.ginasthma.org
Atrial fibrillation guidelines
AHA/ACC/Heart Rhythm Society
Back pain
Department of Veterans Affairs Department of Defense (VA/DoD)
Childhood immunizations
Centers for Disease Control and Prevention
Childhood preventive services
American Academy of Pediatrics
Cholesterol treatment
Department of Veterans Affairs Department of Defense (VA/DoD)
Chronic obstructive pulmonary disease (COPD)
Global Initiative for Chronic Obstructive Lung Disease (GOLD)
© 2023, Global Initiative for Chronic Obstructive Lung Disease, available from www.goldcopd.org, published in Deer Park, IL, USA.
COVID-19
National Institute of Health (NIH) COVID-19 Treatment Guidelines
(The NIH updates this guideline continually, as it obtains new information about managing COVID-19). The guideline is approved in its most current format.
Depression in Adolescents (New July 2023)
American Academy of Pediatrics 2018
Depression
Department of Veterans Affairs Department of Defense (VA/DoD)
Diabetes
American Diabetes Association
Headache/Migraine
Veterans Affairs/Department of Defense (VA/DoD)
Heart failure
American Heart Association/American College of Cardiology/Heart Failure Society of America
ASCVD Risk Estimator Plus
American College of Cardiology
Hypertension
American College of Cardiology/American Heart Association/European Society of Cardiology/European Society of Hypertension Blood Pressure
Insomnia
Veterans Affairs/Department of Defense (VA/DoD)
Kidney disease
National Kidney Foundation
Please note: The National Kidney Foundation (NKF) is the copyright holder and owner of all content, videos, and images. As such, the National Kidney Foundation hereby grants permission to Humana to use NKF guidelines on Kidney Disease Outcomes Quality Initiative Clinical Practice Guidelines to place on the company's website on Clinical Practice Guidelines for their providers. NKF is providing permission for Humana to be able to link to the NKF guideline at
Opioid guidelines
Centers for Disease Control and Prevention (CDC)
Health and Human Services (HHS)
Oxygen therapy
American Thoracic Society
Palliative Care (New July 2023)
National Coalition for Hospice and Palliative Care, 2018
Perinatal guidelines
A compilation of pediatric guidelines in an eBook resulting from a joint effort by The American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP)
Please note that selecting this link will take you to Availity Essentials (formerly Availity Portal). After signing in, select Humana from the “Payer Spaces” drop-down menu. Then select the “Resources” tab, in the center of the page that loads, to view the guidelines. You will see links to both the AAP Guidelines for Perinatal Care and the AAP eBook Collection.
If you do not have an Availity account, you can create one by selecting “Register” at the top of the Availity.com homepage
Preventive care
U.S. Preventive Services Task Force
Primary prevention of cardiovascular disease and stroke
ACC/AHA Task Force on Clinical Practice Guidelines
Sickle cell anemia
NIH
Sleep apnea
American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Obstructive Sleep Apnea
Telehealth
American Medical Association (AMA)
Transgender
American College of Obstetricians and Gynecologists
World Professional Association for Transgender Health
Urinary Incontinence
Journal of Women’s Health
Valvular heart disease
American College of Cardiology/American Association Joint Committee on Clinical Practice Guidelines
Well-woman routine care
The American College of Obstetricians and Gynecologists (ACOG)
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.