Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 21, 2025

2025 Clinical Practice Guidelines

Key takeaways:

  • Our quality improvement committee reviewed and approved evidence‑based standards for our updated Clinical Practice Guidelines, which are now posted online and include direct links to the source documents for reference.
  • Our guidelines enhance attention for members through aligned care practices and ensure consistency in treatment across care providers.
  • Access to these guidelines online enhances transparency and empowers care providers to deliver informed, up‑to‑date medical care effectively.

Updates in the 2025 version include:

  • Updates to links and dates published in existing guidelines as needed.
  • 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.

Note: This update is just for your information, and no action is required of care providers.

The guidelines can be downloaded from our provider website at https://providers.anthem.com/virginia-provider/home > Resources > Policies, Guidelines and Manuals > Clinical Practice Guidelines.

If you have questions or want a printed copy, contact your local Provider Relationship Management representative or call Provider Services toll‑free at 800‑901‑0020.

HealthKeepers, Inc. is an independent licensee of the Blue Cross Blue Shield Association. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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