Provider Clinical Guidelines

Clinical Practice Guidelines and Recommendations

Tool Kit for the Management of Adult Attention-Deficit/Hyperactivity Disorder (ADHD)
Tool Kit for the Management of Adult Anxiety
Tool Kit for the Management of Adult Depression
Tool Kit for the Management of Adult Postpartum Depression
- INC 7 Report on Prevention, Detection, Evaluation and treatment high blood pressure.
- Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults.
- Guidelines for the Diagnosis and Management of Asthma
- COPD Guidelines
- NCEP III Guideline
- Clinical Practice Guidelines
- Clinical Practice Guidelines
- Clinical Practice Guidelines
- CDC/NIH
- IDSA
- Childhood Obesity
- Tobacco Cessation

Medical Determination Criteria

BCBSAZ Health Choice’s clinical and medical management teams use national guidelines and resources when making medical determinations. The resources include, but are not limited to:

InterQual Guidelines
CMS National Coverage Determination
CMS Local Coverage Determination
Hayes Knowledge Center, INC.
UptoDate
Plan Developed Clinical Policies

To obtain BCBSAZ Health Choice’s national and state recognized medical necessity criteria applied to behavioral health and medical decisions, please contact 1-800-322-8670 (TTY: 711).

For more information about care management at BCBSAZ Health Choice, please call:

BCBSAZ Health Choice
Toll- free: 800-322-8670
Maricopa County: 480-968-6866

Call Us

CRISIS HELP: 1-844-534-HOPE (4673) or Text 4HOPE (44673)
24/7 Nurse Advice Line: 1-888-267-9037
Call Us: 1-800-322-8670 (TTY:711)