Clinical Practice Guidelines

Tufts Health Plan clinical practice guidelines help ensure quality preventive care and care management

We adopt and develop our clinical practice guidelines from national organizations and/or in cooperation with specialty organizations and collaborative groups. We periodically update our clinical practice guidelines to include new information about treatments, medications, and technology that reflect best practices. Please note that these clinical practice guidelines are separate and independent from coverage criteria, which vary by product and may differ from these guidelines. In order to determine whether a treatment or service is covered under a particular plan, please review the plan document and coverage criteria specific to that plan.

Behavioral Health Guidelines

Acute Stress Disorder

APA Practice Guidelines

Attention deficit hyperactivity disorder (ADHD)

Atypical Antipsychotic Medications in Children and Adolescents

Autism Spectrum Disorder (ASD)

Bipolar Disorder

Depression

Eating Disorders

Elder Abuse and Neglect

Opioid Prescribing

Panic Disorder

Schizophrenia

Substance Use Disorders

Tobacco

Medical Guidelines

Alzheimer's

Antibiotics

Asthma

Cholesterol Management

Chronic Kidney Disease

Chronic Obstructive Pulmonary Disease (COPD)

Coronary Artery Disease

Dementia

Diabetes

Heart Failure

Hepatitis C

Human Immunodeficiency Virus (HIV)

Hypertension

Immunization

Multimorbidity

Neonatal

Obesity

Osteoporosis

Perinatal

Prevention of Falls

Preventive

Urinary incontinence