Clinical Guidelines

Boston Medical Center (BMC) HealthNet Plan adopts, develops and implements Clinical Practice Guidelines (CPGs) relevant to its membership for the provision of preventive and non-preventive acute and chronic clinical services and for both medical and behavioral health conditions. The Plan adopts clinical practice guidelines from national sources or develops guidelines in collaboration with specialty organizations and/or regional collaborative groups. CPGs serve as a means of establishing standards among providers in medical and behavioral health to improve health outcomes and are not intended to replace clinical judgment.

For a complete list of medications covered by BMC HealthNet Plan, visit our online formulary. Click on the "Pharmacy" button at the top of this page.

Massachusetts Health Quality Partners
BMC HealthNet Plan has endorsed the evidence-based guidelines developed by the Massachusetts Health Quality Partners (MHQP). We encourage you to follow these guidelines to deliver quality care to all of your patients and our members.

You can access these guidelines on the MHQP Web site, www.mhqp.org, or by clicking any of the links below.

Asthma
BMC HealthNet Plan endorses the National Asthma Education and Prevention Panel Guidelines for Diagnosis and Management of Asthma.

Diabetes
BMC HealthNet Plan participated in updating the Massachusetts Guidelines for Adult Diabetes Care that is based on the American Diabetes Association 2007 Clinical Practice Recommendations. This guideline will assist in standardizing care to people with diabetes.

HIV/AIDS Clinical Guidelines
CDC Recommendations and Guidelines
JAMA Guideline

Additional Links and Resources
Pediatric Environmental Home Assessment (PEHA). BMC HealthNet Plan endorses the importance of home environmental assessments to help members with their asthma management.

Massachusetts Lead Screening Prevention Program

Behavioral Health Clinical Guidelines
Clinical Guideline for the Treatment of Depression in the Primary Care Setting

Attention Deficit Hyperactivity Disorder (ADHD) in Primary Care for Children and Adolescents (Institute of Clinical Systems Improvement Guideline)

Bipolar Disorder

Schizophrenia