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Clinical Resources

Clinical Care Guidelines

The Health Partners Plans Quality Management department is responsible for developing and monitoring systems that support our commitment to providing quality care and services to our members. This includes evaluating our performance based on clinical standards.

We encourage our participating providers to take an active role in the ongoing management of member care, particularly members with chronic conditions. We also seek to ensure the coordination of care across specialties and care settings, and encourage our practitioners to discuss health conditions with their patients. Providers that work with our pediatric members should also review the EPSDT/Bright Futures and Lead Screening pages for updates regarding EPSDT screenings and the importance of lead screening.



Clinical Evidence


American Academy of Pediatrics (AAP)

ADHD in Children and Adolescents

Asthma - Adult and Child

National Heart, Lung and Blood Institute 2012

Asthma Care Quick Reference

Chronic Obstructive Pulmonary Disease (COPD)

U.S. Preventative Services Task Force (USPSTF)

Chronic Obstructive Pulmonary Disease: Screening

Gold Initiative for Chronic Obstructive Lung Disease (GOLD)

2023 GOLD Report

National Library of Medicine: Respiratory Care - Medication Regimens for Managing COPD Exacerbations

Medication Regimens for Managing COPD Exacerbations

Diabetes - Adult and Child

American Diabetes Association (ADA)

Standards of Care in Diabetes



E-Cigarette and Vaping Information

Heart Attack/STEMI

American College of Cardiology (ACC)

ACC/AHA Guideline on the Assessment of Cardiovascular Risk

Heart Disease


2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease

Heart Failure


2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure



2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease

Hepatitis C

Infectious Disease Society of America (IDSA)

Clinical Guidance for Treatment of Hepatitis C (


Clinical Guidelines

Opioid Use Disorder

American Society of Addiction Medicine (ASAM)

Opioid Prescribing

Philadelphia Department of Public Health/ Department of Behavioral Health and Intellectual disABILITY Services

Opioid Prescribing Guidelines

Centers for Disease Control and Prevention

CDC Guidelines for Prescribing Opioids for Chronic Pain

City of Philadelphia, Department of Public Health

Postoperative Opioid Prescribing Guidelines

City of Philadelphia, Department of Public Health

Postoperative Opioid Prescribing Guidelines: Background for Surgeons

Commonwealth of Pennsylvania

Treating Chronic Non-Cancer Pain

Pediatric Lead Levels


Lead Exposure

Sexually Transmitted Infections


STI Treatment Guidelines Update

Smoking Cessation


Cessation Materials for State Tobacco Control Programs

Upper Respiratory Infections


Appropriate Antibiotic Use

American Academy of Family Physicians (AAFP)

Respiratory Tract Infections Resources

Zika Virus and Pregnancy


Zika and Pregnancy Basics

These guidelines are reviewed at least annually, and are approved by our Utilization Management Committee. To request printed copies of any guidelines, please call our Provider Services Helpline at 1-888-991-9023 or 215-991-4350.