Clinical Practice Guidelines

Horizon BCBSNJ’s Clinical Practice Guidelines have been adopted to promote quality health care and reduce unnecessary variation in care received by our members.

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They have been adopted from nationally known organizations such as the Advisory Committee on Immunization Practices, the American Academy of Pediatrics, the American Academy of Family Physicians, the American Psychiatric Association, the Agency for Health Care Policy and Research, the American Society of Addictive Medicine and the American Diabetes Association. They also include Healthcare Effectiveness Data and Information Set (HEDIS®) technical specifications.

The Clinical Practice Guidelines are for informational purposes only. They are not provided to dictate or direct the course of treatment for a Horizon BCBSNJ member. These Clinical Practice Guidelines do not replace a physician’s or other health care professional’s independent professional clinical judgment nor their duty to exercise their special knowledge and skill in the treatment of their patients. The Clinical Practice Guidelines are intended as an informational aid for an audience of trained medical professionals and should not be construed to constitute medical advice or the practice of medicine. Physicians and other health care professionals remain responsible for the quality and type of health care services provided to Horizon BCBSNJ members.