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Clinical Resources

Clinical Practice Guidelines | Preventive Service Guidelines | Documentation and Office Standards

CareFirst's Quality Improvement (QI) program seeks to enrich clinical care and administrative services in every area of the health care delivery system. Clinical resources are developed under our QI program and support our providers in treating chronic disease, providing preventive care and maintaining office operations.

All of our guidelines are based on national medical association and health organization recommendations, approved by a Quality Improvement Advisory Committee of physicians and reviewed annually or when national guidelines change.

Clinical Practice Guidelines

Heart Disease and Coronary Artery Disease

Respiratory Disease

Depression

Diabetes

Visit the Disease Management section of our site for more information.

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Preventive Service Guidelines

CareFirst's Quality Improvement Council has approved the guidelines listed below. To access this information, download CareFirst's Preventive Service Guidelines (292KB, 14 pgs.)PDF

  • Recommended Service Guidelines for Children
  • Recommended Immunization Schedule for Children
  • Recommended Service Guidelines for Adults
  • Recommended Immunization Schedule for Adults
  • Recommended Perinatal Services Guidelines for Normal Pregnancy

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Documentation and Office Standards

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Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc., an affiliate company, also offers health benefit products and services on this site.

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