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 Sources and Link to Guidelines
Acute MI American Heart Association 2014
Preventive Care: Adult
(21 years old & over)
U.S. Preventive Services Task Force 2014
(A & B Recommendations)
American Cancer Society Prevention, Early Detection, and Survivorship 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 2019 GINA CPG Asthma
Attention Deficit Hyperactivity Disorder (ADHD) AAP Updated ADHD Guidelines 2019
Cardio-vascular Disease American Heart Association 2011
Cardio-vascular Disease Women American Heart Association 2011
Chlamydia U.S. Preventive Services Task Force 2014
Cholesterol Management National Heart Association 2013
Chronic Heart Failure American Heart Association 2013
Chronic Obstructive Pulmonary Disease 2019 Global Strategy for COPD
Use of Opioid Analgesics in the Treatment of Chronic Pain Federation of State Medical Boards 2017
Chronic Stable Angina 2012 ACCF/AHA Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease
Depression American Psychiatric Association 2010
Diabetes 2020 ADA Standards of Medical Care in Diabetes
Human Immuno-deficiency Virus (HIV) CDC HIV CPG 2017
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** 2017 ACOG Perinatal Care Guidelines (8th Edition)
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 Health Kids/EPSDT Program

Maryland Healthy Kids Program – Prevention Screen Questionaire

Bright Futures Took Kit & Resource

Preventive Care Pediatric/Adolescent Immunization
Schedule (0-18 years old)
American Academy of Pediatrics Committee on Infectious Diseases
Sickle Cell Anemia National Heart Lung and Blood Institute 2014


*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.
**Email the CareFirst CHPMD Quality Improvement Department at to request a hard copy of the ACOG perinatal guidelines.