Updated Clinical Practice Guidelines now available online

Updated Clinical Practice Guidelines are now available on the website. Our quality improvement committee reviewed and approved these evidence‑based guidelines, which include direct links to the source documents for reference. We encourage you to stay current with the latest guidelines to ensure best practices and deliver optimal care. Accessing the most recent updates will enhance your professional knowledge and improve service quality.

These guidelines can be accessed on our provider website at https://www.wellpoint.com/md/provider/state-federal > Resources > Provider policies, guidelines & manuals > Medical Policies and Clinical UM guidelines. For a printed copy, please call Provider Services at 833‑707‑0868.

If you have questions, contact your local provider relationship management representative or call Provider Services at 833‑707‑0868.

Updates in the 2025 version include:

• Addition of guidelines:
• Attention Deficit Hyperactivity Disorder: ADHD Diagnosis and Treatment in Children and Adolescents (2024) Systematic Review and Meta‑Analysis prepared for the Agency for Healthcare Research and Quality U.S. Department of Health and Human Services and Patient‑Centered Outcomes Research Institute
• Borderline Personality: The American Psychiatric Association Practice Guideline for the Treatment of Patients with Borderline Personality Disorder, Second Edition. (2024)
• Hearing Loss: Clinical Practice Guideline: Age‑Related Hearing Loss (2024). American Academy of Otolaryngology—Head and Neck Surgery Foundation.
• Stroke Prevention: 2024 Guideline for the Primary Prevention of Stroke: A Guideline from the American Heart Association/American Stroke Association
• Mental Health Conditions: Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum (2023). American College of Obstetricians and Gynecologists

• Deleted documents:
• Nonpharmacologic and Pharmacologic Treatments of Adults in the Acute Phase of Major Depressive Disorder: A Living Clinical Guideline from the American College of Physicians. The CPG matrix contains multiple documents on depression.