Clinical Practice Guidelines
HIP encourages the use of Clinical Practice Guidelines (CPGs) for the provision of acute, chronic and behavioral health services that are relevant to the enrolled membership. HIP either adopts guidelines from recognized sources, or develops them based on evidence-based clinical practice guidelines. Plan-developed guidelines are reviewed and adopted with the help of participating practitioners. All guidelines are reviewed at a minimum of every two years and are updated as appropriate, with the exception of the HIV/AIDS Clinical Practice Guidelines, which are reviewed and updated annually.
HIP Clinical Practice Guidelines are not a substitute for the clinical judgment of the health care clinician and are intended only to assist the clinician by organizing relevant information on the management of preventive and clinical care. Individual patient treatment may vary from the CPGs based on the health care clinician's clinical judgment.
Below is a list of Clinical Practice Guidelines related to behavioral health care services. The guidelines that have been adopted by HIP are provided as direct links to the Web sites of the organizations that created them. The guidelines developed by HIP are in Adobe® Acrobat® format. Click here to download the free Adobe® Acrobat® Reader®. All documents are best viewed when printed. Call the Provider Relations Service Team at 1-866-447-9717, option 5 if you would like a paper copy of a specific guideline to be mailed to you.
A comprehensive list of HIP's Clinical Practice Guidelines is available in the "View Provider Materials" section of the provider portal at hipusa.com®.
Adults Exposed to the World Trade Center Disaster
Alcohol and Other Drug Treatment
- Alcohol Misuse Screening
- U.S. Preventive Services Task Force
www.ahrq.gov/clinic/uspstf/uspsdrin.htm
- Drug Abuse Screening
- U.S. Preventive Services Task Force
www.ahrq.gov/clinic/uspstf/uspsdrug.htm
- Clinical Guidelines for Alcohol and Other Drug Treatment
- HIP Health Insurance Plan of New York
www.hipusa.com/downloads/providers/clinical_guidelines/CPG_AOD_Guidelines.pdf
Attention Deficit Disorder/Hyperactivity Disorder
- HIP Health Insurance Plan of New York
www.hipusa.com/downloads/providers/clinical_guidelines/CPG_ADD-ADHD_Guidelines.pdf
Bipolar Disorder
- HIP Health Insurance Plan of New York
www.hipusa.com/downloads/providers/CPG_Bipolar_2007.pdf
Depression
- Depression Screening
- U.S. Preventive Services Task Force
www.ahrq.gov/clinic/uspstf/uspsdepr.htm
- Clinical Practice Guidelines
- HIP Health Insurance Plan of New York
www.hipusa.com/downloads/providers/Depressioncpg.pdf
Family Violence/Abuse
- Child Abuse
- Childhelp's National Child Abuse Hotline
www.childhelpusa.org
- NYS Mandated Training Related to Child Abuse
www.op.nysed.gov/camemo.htm
- NYS Mandated Reporting of Suspected Child Abuse
www.health.state.ny.us/nysdoh/ems/pdf/02-01.pdf
- Domestic Violence
- The National Domestic Violence Hotline
www.ndvh.org/index.php
- Family Violence/Abuse
- Screening for Family and Intimate Partner Abuse
- U.S. Preventive Services Task Force
www.ahrq.gov/clinic/uspstf/uspsfamv.htm
HIV/AIDS
- Clinical Practice Guidelines
- NYSDOH AIDS Institute
Clinical Practice Guidelines
www.hivguidelines.org/Content.aspx?pageID=2
Clinical Practice Guidelines, which pertain to HIV prevention and the medical management of adults, children and adolescents with HIV infection. The Guidelines address the following topics: Adult HIV, Pediatric & Adolescent HIV, HIV Post-Exposure, Prevention, Mental Health, Substance Use, Oral Health, Pharmacy, and Perinatal HIV Transmission.
New Clinical Practice Guideline Releases
www.hivguidelines.org/Content.aspx?pageID=1
New Clinical Practice Guideline Releases, addresses and announces changes to previously published guidelines.
- Additional HIV/AIDS Educational Resources:
- Centers for Disease Control (CDC)
www.cdcnpin.org/scripts/hiv/index.asp
HIV/AIDS Bureau (HAB) of the Health Resources and Services Administration (HRSA)
hab.hrsa.gov
National HIV/AIDS Clinicians' Consultation Center
www.ucsf.edu/hivcntr/
New York City Department of Health and Mental Hygiene
www.nyc.gov/html/doh/html/ah/ah.shtml
New York State Department of Health
www.health.state.ny.us/diseases/aids/index.htm
United States Department of Health and Human Services
www.aidsinfo.nih.gov/
- Pediatric and Adolescent Preventive Services:
- New York State Department of Health AIDS Institute
www.hivguidelines.org/Content.aspx?PageID=258
Smoking Cessation
- HIP Health Plan of New York
www.hipusa.com/downloads/providers/2bRSmokingCPG.12.pdf
