Clinical Practice Guidelines

UCare, through the Quality Improvement Advisory and Credentialing Committee (QIACC), adopts medical clinical practice guidelines from nationally or locally recognized sources. Sources may include medical specialty societies and other professional organizations. The guidelines are based on reasonable medical evidence or a consensus on clinical treatment patterns by physicians in the selected field of practice.

MEDICAL

Asthma, Diagnosis and Management
Primary Source: Global Initiative for Asthma 

Care of the Older Adult
Primary Source: American Geriatrics Society

Diabetes, Type 2; Diagnosis and Management
Primary Source: American Diabetes Association

Management of Heart Failure in Adults
Primary Source: Journal of the American College of Cardiology (JACC)

Obesity in Adults; Prevention and Management 
Primary Source: American Academy of Family Physicians

Prenatal Care
Primary Source: American Academy of Family Physicians

Preventive Services for Adults
Primary Source: American Academy of Family Physicians

Preventive Services for Children and Adolescents
Primary Source: American Academy of Pediatrics Bright Futures (AAP)

MENTAL HEALTH AND SUBSTANCE USE DISORDER

Assessment and Treatment of Children and Adolescents with Attention-Deficit/Hyperactivity Disorder 
Primary Source: American Academy of Child and Adolescent Psychiatry

Assessment and Treatment of Children and Adolescents with Depressive Disorders 
Primary Source: American Academy of Child and Adolescent Psychiatry

Management of Posttraumatic Stress Disorder and Acute Stress Disorder
Primary Source: Department of Veterans Affairs and Department of Defense

Treatment of Opioid Use Disorder
Primary Source: American Society of Addiction Medicine

Treatment of Patients with Major Depressive Disorder 
Primary Source: American Psychiatric Association

Treatment of Patients with Schizophrenia 
Primary Source: American Psychiatric Association

Treatment of Patients with Substance Use Disorders (SUD) 
Primary Source: American Psychiatric Association

PHARMACY

UCare adopts the Minnesota Department of Human Services (DHS) Preferred Drug List guidelines to ensure a more consistent drug benefit for our Medicaid line of business. This clinical practice guideline is developed by Minnesota DHS Drug Formulary Committee.