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Treatment Resources

We offer treatment resources, including clinical resources and guidelines, practice support tools, and other educational information that can help your patients—our members—to manage their care.

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Attention deficit hyperactivity disorder (ADHD)
Clinical guideline Provider resources
American Academy of Child and Adolescent Psychiatry Practice Parameter for the Assessment and Treatment of Children with Attention Deficit/Hyperactivity Disorder Clinical Practice Guideline

Treating Attention-Deficit/Hyperactivity Disorder

The Pediatric Symptom Checklist (PSC). Pediatricians and other health professionals use this screening questionnaire as a guide to improve the recognition and treatment of psychosocial problems in children.

National Institute of Mental Health:
Attention-Deficit/Hyperactivity Disorder Overview

Centers for Disease Control and Prevention:
Attention-Deficit/Hyperactivity Disorder

 

Childhood/Adolescent immunizations
Clinical guideline Provider resources
Massachusetts Health Quality Partners (MHQP):
Pediatric Preventive Care Guidelines
Adult Preventive Care Guidelines
Childhood/adolescent immunizations

 

Dental disease
Clinical guideline Provider resources
American Dental Association

Perio Institute

To make the link between oral and overall health, we offer programs and additional condition-specific benefits to members with diabetes, coronary artery disease, oral cancer, and women who are pregnant. Learn more on our Oral & Overall Health page.

 

Depression
Clinical guideline Provider resources
American Psychiatric Association

American Psychiatric Association Practice Guidelines for the Treatment of Major Depressive Disorder, Third Edition

Care Guide for Major Depression in Adults (last reviewed Feb 2018)

Pharmacy Guide for Major Depression in Adults (last reviewed Feb 2018)

Members can access self-help resources for depression (including self-assessment, treatment options, medication information, and other therapies) by logging onto their account on our MyBlue website.

Depression Self-Care Center at www.ahealthyme.com

National Alliance on Mental Illness

 

Maternity
Clinical guideline Provider resources
Massachusetts Health Quality Partners (MHQP):
Pediatric Preventive Care Guidelines
Adult Preventive Care Guidelines

Edinburgh Postnatal Depression Scale Questionnaire for patients

Prenatal and Post Partum Care

 

Member benefits

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Classes

Members are eligible for reimbursement up to $90 on first-time-mother classes and $45 for refresher courses. The enrollment form is available on our Living Healthy Babies website, www.livinghealthybabies.com.

Dental benefits during pregnancy

Dental Blue members who are pregnant may be covered for two additional dental cleanings in a 12-month period and a periodontal scaling, both with no deductibles or co-insurance when performed by a participating dental provider.

Resources

Educational resources for your patients

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Living Healthy Babies website

Our Living Healthy Babies® website, www.livinghealthybabies.com, gives members information and resources to guide them through pre-conception, pregnancy, and caring for baby.

Infertility - Resource for members who choose IVF

For the health of mother and baby: single-embryo transfer is an educational information sheet designed for fertility specialists to share with our members who choose in vitro fertilization (IVF). You can edit this piece to add your office information and logo.

Text4baby

Text4baby is a free mobile information service that provides information to help pregnant women and new moms to care for their health and give their babies the best possible start in life. Women who sign up for the service by texting BABY (2229) to 511411 or BEBE (2323) in Spanish) will receive free text messages each week, timed to their due date or baby's date of birth. This program is offered at no additional charge through certain cell phone carriers. You can also register online at www.text4baby.org.

Mental health hospitalization follow-up

Seven day follow-up after mental health hospitalization (a resource for facilities with an inpatient behavioral health unit and outpatient behavioral health providers)

Osteoporosis

Our Mineral Density medical policy lists coverage for bone mineral density testing.

Learn how to order in-home bone mineral density screening for Medicare Advantage female patients with limited mobility with our In-home bone mineral density for Medicare Advantage members Fact Sheet.

Fall prevention resources:

Preventive care
Clinical guideline Provider resources
Massachusetts Health Quality Partners (MHQP):
Pediatric Preventive Care Guidelines
Adult Preventive Care Guidelines
Preventive care reminder letters

You can also refer to our weight management section below.

 

Smoking and tobacco cessation
Provider resources Member resource
QuitWorks (to help patients quit smoking)

 

Substance use
Clinical guideline Provider resources

These guidelines recommend best practices in adult well visits and annual check-ups and recommendations for adults with alcohol and substance use.   

American Psychiatric Association (APA) Practice Guideline
Treatment of Patients With Substance Use Disorders.

Substance Abuse and Mental Health Services Administration (https://www.samhsa.gov/):

  • Managing Chronic Pain in Adults with or In Recovery From Substance Use Disorders
  • Medication Assisted Treatment for Opioid Addiction in Opioid Treatment Programs
  • Screening, Brief Intervention, and Referral to Treatment (SBIRT)

Massachusetts Health Quality Partners:
Massachusetts Health Quality Partners Adult Preventive Care Guidelines

Initiating Treatment for Alcohol and Substance Use Disorders

 

Weight management

Learn what to include in medical records for BMI assessment and counseling for nutrition and physical activity for children and adolescents.

Weight assessment, counseling for nutrition, and physical activity for children/adolescents: A resource for primary care clinicians

Members can take advantage of the fitness and weight loss benefits we offer. Please refer them to our MyBlue member website at bluecrossma.com/myblue.

Educational resources for members

AHealthyMe.com and AHealthyMe-medicare.com offer our members information, lifestyle tips, and social networking.

Fepblue.org offers Federal Employee Program members wellness resources and health tools. 


Clinical practice guidelines referenced on this site are intended as a guide for treatment and do not represent a standard of care for a member with a specific disorder. The guidelines are not a substitute for individualized assessment and treatment planning, and services recommended under the guidelines will not always be determined to be medically necessary. Claim payment decisions are based on the member's benefits, eligibility, coverage, and benefit limitations at the time the service is being performed.