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Treatment Resources

These medical and behavioral health resources include clinical guidelines and educational information that can help your patients—our members—to manage their care.

Medical

Preventive and primary care

Resource Source
Clinical guidelines:
  • Adult Preventive Care Guidelines
  • Pediatric Preventive Care Guidelines
  • Perinatal Care Guidelines
  • Immunization Schedules
  • Adult and Pediatric Asthma Action Plans
Massachusetts Health Quality Partners (MHQP)
Flu Season Fact Sheet Blue Cross Blue Shield of Massachusetts
Smoking cessation: TryToStop.org or 1-800-QUIT-NOW
Smoking cessation programs are available to all members at no cost
Massachusetts Department of Public Health

For your convenience, we created preventive care reminder letters your office can use as templates. Log in and go to Patient Engagement>Tools & Resources>Preventive & Chronic Care Reminder Letters.

Osteoporosis

Resource Source
STEADI Program
STEADI provides training, tools, and resources for health care providers to help prevent falls and help their patients stay healthy, active, and independent longer.
Centers for Disease Control and Prevention (CDC)
 In-home bone mineral density for Medicare Advantage members Fact Sheet
This fact sheet describes the benefit we offer eligible women with limited mobility.
Blue Cross Blue Shield of Massachusetts

Pain management/opioids

See also the Alcohol and Substance Use section below. 

Resource Source
AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults The American Geriatrics Society (AGS)
Pocket Guide: Tapering Opioids for Chronic Pain Centers for Disease Control and Prevention (CDC)
Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders Substance Abuse and Mental Health Services Administration
 Common alternatives to opioid medications to treat pain Blue Cross Blue Shield of Massachusetts
Our Opioid Resource Center
Medical policies including:
  • Complementary Medicine medical policy 178
  • Drug Management & Prior Authorization medical policy 251
  • Drug Testing in Pain Management and Substance Use Disorder Treatment medical policy 674
  • Opioid and Opioid Combination Medication Management medical policy 102
  • Transcutaneous Electrical Nerve Stimulation (TENS) medical policy 003
Pharmacy information

Behavioral health

Alcohol and substance use

Resource Source
Clinical practice guidelines American Psychiatric Association
Medication Assisted Treatment for Opioid Addiction in Opioid Treatment Programs Substance Abuse and Mental Health Services Administration
Systems-Level Implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT)
 Medication to treat substance use disorder Blue Cross Blue Shield of Massachusetts
Our Opioid Resource Center

Attention deficit hyperactivity disorder (ADHD)

Resource Source
ADHD Resource Center
Includes Practice Parameter for the Assessment and Treatment of Children and Adolescents with Attention-Deficit/Hyperactivity Disorder
American Academy of Child and Adolescent Psychiatry
Attention-Deficit/Hyperactivity Disorder National Institute of Mental Health (NIMH)
Pediatric Symptom Checklist (PSC)
The Pediatric Symptom Checklist is a brief screening questionnaire used by pediatricians and other health professionals to recognize psychosocial problems and improve treatment in children.
Massachusetts General Hospital
Treating Attention-Deficit/Hyperactivity Disorder Blue Cross Blue Shield of Massachusetts

Depression

Resource Source
Clinical practice guidelines American Psychiatric Association

Post-partum depression

Resource Source
Edinburgh Postnatal Depression Scale (EPDS):
English
Spanish
American Academy of Pediatrics

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.