Policy Updates Medical Policy & Clinical GuidelinesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMay 21, 2025

Updated Clinical Practice Guidelines now available

Updated Clinical Practice Guidelines are now available on the website. These evidence‑based guidelines were reviewed and approved by our quality improvement committee. The guidelines include direct links to the source documents for reference.

Updates in the 2025 version include:

  • Addition of guidelines:
    • Attention Deficit Hyperactivity Disorder: ADHD Diagnosis and Treatment in Children and Adolescents (2024) Systematic Review and Meta‑Analysis prepared forthe Agency for Healthcare Research and Quality U.S. Department of Health and Human Services and Patient‑Centered Outcomes Research Institute
    • Borderline Personality: The American Psychiatric Association Practice Guideline for the Treatment of Patients with Borderline Personality Disorder, Second Edition. (2024)
    • Hearing Loss: Clinical Practice Guideline: Age‑Related Hearing Loss (2024). American Academy of Otolaryngology — Head and Neck Surgery Foundation.
    • Stroke Prevention: 2024 Guideline for the Primary Prevention of Stroke: A Guideline from the American Heart Association/American Stroke Association
    • Mental Health Conditions: Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum (2023). American College of Obstetricians and Gynecologists
  • Deleted documents:
    • Nonpharmacologic and Pharmacologic Treatments of Adults in the Acute Phase of Major Depressive Disorder: A Living Clinical Guideline from the American College of Physicians. The CPG matrix contains multiple documents on depression.

No action is needed; this update is informational only. The guidelines below can be downloaded from our provider website at https://providers.anthem.com/in > Resources > Provider manuals and guides. For a printed copy, please call Provider Services at 866‑408‑6132 (Hoosier Healthwise), 844‑533‑1995 (Healthy Indiana Plan), 844‑284‑1798 (Hoosier Care Connect), or 833‑569‑4739 (Indiana PathWays for Aging).

Contact your local provider relationship management representative or call Provider Services toll-free at 866‑408‑6132 (Hoosier Healthwise), 844‑533‑1995 (Healthy Indiana Plan), 844‑284‑1798 (Hoosier Care Connect), or 833‑569‑4739 (Indiana PathWays for Aging) if you have any questions.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for Aging through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. This includes but is not limited to authorization, covered benefits and services, and claims submittal. If you have questions, please contact your group administrator or your Anthem network representative.

INBCBS-CD-080771-25-SRS79804