For providers
Clinical Practice Guidelines and Recommendations
Adult Behavioral Health Guidelines
Tool Kit for the Management of Adult Attention-Deficit/Hyperactivity Disorder (ADHD)Tool Kit for the Management of Adult Anxiety
Tool Kit for the Management of Adult Depression
Tool Kit for the Management of Adult Postpartum Depression
Adult Hypertention Management Guidelines (NHLBI)
Adult Obesity Management Guidelines (NHLBI and NIDDKD)
Asthma & COPD Management Guidelines (NHLBI)
Cardiac and CVA Care Management (ACC/AACE)
Childhood Behavioral Health Guidelines
Tool Kit for the Management of Childhood & Adolescent Attention-Deficit/HyperAnxiety Disorder (ADHD)Tool Kit for the Management of Childhood & Adolescent Anxiety
Tool Kit for the Management of Childhood & Adolescent Depression
Chronic Pain Management Guidelines (American Pain Society)
Diabetes Management Guidelines (ADA)
General Infectious Disease Management Guidelines (IDSA)
HIV Management Guidelines
Opioid Safety
- CDC Clinical Practice Guidelines for Prescribing Opioids and Recommending Naloxone
- AZ Provider Resources such as coordinating care and using the Prescription Drug Monitoring Program
- A Parent’s Guide to Prevention
Pediatric Obesity Management Guidelines (NHLBI and NIDDKD)
Smoking Cessation Guidelines (NIH)
Medical Determination Criteria
BCBSAZ Health Choice’s clinical and medical management teams use national guidelines and resources when making medical determinations. The resources include, but are not limited to:
- InterQual Guidelines
- CMS National Coverage Determination
- CMS Local Coverage Determination
- Hayes Knowledge Center, INC.
- UptoDate
- Oncology Clinical Practice Guidelines
- DrugDex AHFS (subscription required)
- Arizona Controlled Substance Prescription Drug Monitoring Program (login required)
- Plan Developed Clinical Policies
To obtain BCBSAZ Health Choice’s national and state recognized medical necessity criteria applied to behavioral health and medical decisions, please contact 1-800-322-8670 (TTY: 711).
For more information about care management at BCBSAZ Health Choice, please call:
BCBSAZ Health Choice
Toll- free: 800-322-8670
Maricopa County: 480-968-6866