CareFirst CHPMD Members: Keep your info current. Keep yourself insured. Medicaid renewals won’t be automatic this year. Check in to make sure your contact information is up to date to receive important notices on any changes to your health insurance. To update your address, phone number or email, log in to your MHC online account.  If you need assistance, call MHC at 1-855-642-8572.

CareFirst CHPMD Providers: Encourage your patients to update their information. Find out how you can help your patients renew their coverage here.

CareFirst CHPMD Members whose medical care has been impacted by the recent collapse of the Francis Scott Key Bridge: please call Member Services at 800-730-8530 or our 24-Hour Nurse Advice Line: 800-231-0211.

Change Healthcare Notice

Clinical Practice Guidelines

CareFirst Community Health Plan Maryland's Clinical Practice Guidelines are designed to assist clinicians with the treatment of the most common medical issues by providing an analytical framework for evaluation and treatment. Please find below the list of our guidelines with links to the standards adopted by nationally recognized organizations.
Conditions Clinical Practice Guidelines
Acute MI American Heart Association 2014
Preventative Care:  Adults (21 & over) U.S. Preventive Services Task Force 2014
Preventative Care ACS Prevention and Early Detection Guidelines
Preventive Care: Adult Immunizations
(19 years old & over)
The Centers for Disease Control & Prevention’s (CDC’s)
Advisory Committee on Immunization Practices (ACIP)
Asthma 2020 Focused Updates to the Asthma Management Guidelines
Attention Deficit Hyperactivity Disorder (ADHD) AAP Updated ADHD Guidelines 2019
Cardiovascular Disease – Secondary Prevention American Heart Association 2011
Chlamydia U.S. Preventive Services Task Force 2014
Cholesterol Management 2018 AHA et al Guideline on the Management of Blood Cholesterol
Chronic Heart Failure AHA/ACC/HFSA: Guideline for the management of heart failure
Chronic Obstructive Pulmonary Disease 2021 GOLD Global Strategy for the Diagnosis, Management, and Prevention of COPD
Use of Opioid Analgesics in the Treatment of Chronic Pain Guidelines for the Chronic Use of Opioid Analgesics 2017 FSMB
Chronic Stable Angina 2012 ACCF/AHA Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease
Depression AAPA Adolescent Depression in Primary Care
ISCI Adult Depression in Primary Care
Diabetes ADA 2021 Diabetes Standards of Care
Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis for the Prevention of HIV Infection – 2021 Update
Hypertension 2020 International Society of Hypertension Global Hypertension Practice Guidelines
Lead Exposure Maryland Department of Health and Mental Hygiene 2016
Pediatric Allergy European Academy of Allergy and Clinical Immunology 2012
Perinatal Care ACOG 2017 Guidelines for Perinatal Care
Prescribing Opioids for Chronic Pain Center for Disease Control 2016
Preventive Care: Pediatric/Adolescent Periodicity
Schedule (0-21 years old)

American Academy of Pediatrics and Bright Futures

Maryland Healthy Kids/EPSDT Program

Maryland Healthy Kids Program – Prevention Screen Questionnaire

Bright Futures Tool Kit & Resources

Preventive Care Pediatric/Adolescent Immunization
Schedule (0-18 years old)
American Academy of Pediatrics Committee on Infectious Diseases
Sickle Cell Anemia Evidence-Based Management of Sickle Cell Disease
Obesity (Adult) Screening for and Management of Obesity in Adults: U.S. Preventive Services Task Force Recommendation Statement | Annals of Internal Medicine (acpjournals.org)
Obesity (Child) USPSTF 2017 Child and Adolescent Obesity
Autism Autism Spectrum Disorder


Note: CareFirst Community Health Plan Maryland (CareFirst CHPMD) publishes medical guidelines from a number of well-respected national sources. These guidelines may have some differences in recommendations. Information contained in the guidelines is not a substitute for a health care professional’s clinical judgment and is not always applicable to an individual. Therefore, the health care professional and patient should work in partnership in the decision-making process regarding the patient’s treatment. Furthermore, using this information will not guarantee a specific outcome for each patient. None of the information in the guidelines is intended to interfere with or prohibit clinical decisions made by a treating health care professional regarding medically available treatment options for patients.