Aetna Better Health® of Ohio does not provide the info on the next page. If you don’t want to leave our site, choose the “X” in the upper right corner to close this message. Or choose “Go on to next website” to move forward.
Guidelines
Respected professional and public health organizations create clinical practice guidelines that document best practices and recommendations for care. We’ve chosen certain clinical guidelines to help our providers give members high-quality, consistent care with effective use of services and resources. These include treatment protocols for specific conditions, as well as preventive health measures.
The intention of these guidelines is to clarify standards and expectations. They should not:
- Take precedence over your responsibility to provide treatment based on the member’s needs
- Substitute as orders for treatment of a member
- Guarantee coverage or payment for the type or level of care proposed or provided
Clinical practice guidelines
Physical health
Chronic obstructive lung disease (COPD) (PDF)
Congestive heart failure (CHF)
Contraceptive use recommendations (PDF)
Hepatitis C clinical decision support tool (PDF)
Immunizations for adults and children
Pediatric health care recommendations (PDF)
Preterm birth
17-alpha hydroxprogesterone caproate (17P) and Makena® (PDF)
Progesterone and preterm birth prevention (PDF)
Universal cervical length screening and vaginal progesterone for short cervix (PDF)
Sickle cell disease
Sickle cell disease expert panel report
Sickle cell disease management (PDF)
Vaccine recommendations for pregnant women
Tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine
Behavioral and mental health
Attention-deficit/hyperactivity disorder (ADHD)
Screening, brief intervention and referral to treatment (SBIRT) (PDF)
Children and families in the aftermath of disasters and crises (PDF)
Generalized anxiety disorder (PDF)
Disruptive behavior disorders in children and adolescents
Acute stress disorder and posttraumatic stress disorder
Eating disorders
Nicotine use
Health equity in tobacco prevention and control (PDF)
Personalized quit plan form (PDF)
Tobacco-related disparities (PDF)
Treating tobacco use and dependence
Obsessive-compulsive disorder
Opioid addiction
American Society of Addiction Medicine (ASAM) national practice guideline (PDF)
ASAM national practice guideline synopsis (PDF)
Schizophrenia
Substance use disorder
Suicidal behaviors
Clinical policy bulletins
These bulletins state our policy about the medical necessity or investigational status of medical technologies and other services to help with coverage decisions. A national review team creates the bulletins and bases them on:
- Published medical literature
- Formal technology assessments
- Structured evidence reviews
- Evidence-based consensus statements
- Expert opinions
- Evidence-based guidelines from professional and public health entities
Aetna® clinical policy bulletins
Hospice care
We work with providers to approve hospice care for members when they need end of life services and supports.