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:
|
Massachusetts Health Quality Partners (MHQP) |
 Flu Season Fact Sheet |
Blue Cross Blue Shield of Massachusetts |
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
| 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 |
Search our medical policies for opioid medication management, drug management, drug testing, Transcutaneous Electrical Nerve Stimulation (TENS), and complementary medicine.
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) | |
| Our Opioid Resource Center | Blue Cross Blue Shield of Massachusetts |
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 |
| Care Guide for Major Depression in Adults |
Blue Cross Blue Shield of Massachusetts |
| Pharmacy Guide for Major Depression in Adults |
Blue Cross Blue Shield of Massachusetts |
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.
