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All Blue Cross NC guidelines are based on the most current scientific evidence, and are adapted from standards published by nationally recognized authorities.

Preventive Health Guidelines

Preventive Health Guidelines are standards of care developed to encourage the appropriate provision of preventive services to patients, according to their age, gender, and risk-status. These services include screenings, immunizations and physical examinations.

Oral Health Guidelines

Source: American College of Obstetricians and Gynecologists - Oral Health Care During Pregnancy and Through the Lifespan, 2013

Website:

  • http://www.acog.org/media/Committee_Opinions/Committee_on_Health_Care_for_Underserved-Women/co569.pdf

Source: American Academy of Pediatrics - Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents, 2017

Website:

Source: American Academy of Pediatric Dentistry Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents, 2013

Website:

Source: American Academy of Pediatric Dentistry - Policy on Perinatal and Infant Oral Health Care, 2016

Website:

Source: American Academy of Pediatric Dentistry - Policy on Use of Fluoride 2014

Website:

Source: American College of Obstetricians and Gynecologists, Guidelines for Perinatal Care, 8th edition
Website:

Source: American Academy of Pediatrics, Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents, 2017
Website:

Source: United States Preventive Services Task Force (USPSTF), Recommendations for Primary Care Practice American Academy of Family Physicians, Clinical Preventive Services Recommendations
Websites:

Sources: United States Preventive Services Task Force (USPSTF), Recommendations for Primary Care Practice American Academy of Family Physicians, Clinical Preventive Services Recommendations

Websites:

Source: Centers for Disease Control and Prevention, Advisory Committee on Immunization Practices
Website:

Practice Guidelines

Practice Guidelines are systematically developed statements that help practitioners make decisions about appropriate health care for specific chronic or acute clinical circumstances.

Source: National Institutes of Health National Heart, Lung, and Blood Institute-National Asthma Education and Prevention Program Expert Panel Report 3-Guidelines for the Diagnosis and Management of Asthma

Website:

Source: American Academy of Pediatrics

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Depression Screening Tools

Source: U.S. Preventive Services Task Force (USPSTF). Screening for Depression in Adults. January 2016.

Website:

  • http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/depression-in-adults-screening1?ds=1&s=depression

Source: U.S. Preventive Service Task Force (USPSTF). Screening for Major Depressive Disorder in Children and Adolescents. February 2016.

Website:

  • http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/depression-in-children-and-adolescents-screening1?ds=1&s=Depressi

Source: ACCF/AHA Guideline for the Management of Heart Failure

Website:

Source: National Institutes of Health National Heart Lung Blood Institute - Eighth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 8)

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Materials:

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Legislative resources

Changes, updates and industry requirements

Health care is a rapidly changing industry that's guided in part by legislative decisions. These decisions can sometimes affect how we conduct business together.

The following resources can help keep you informed about legislative changes and requirements affecting health care:

Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.

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