Clinical Practice Guidelines

EmblemHealth encourages the use of Clinical Practice Guidelines (CPGs) for assistance in the treatment of acute, chronic, and behavioral health issues. The Plan adopts guidelines from recognized sources and involves board-certified practitioners from appropriate specialties in the development and adoption of CPGs that are not from recognized sources.

All CPGs are reviewed at a minimum of every two years and are updated as appropriate. (The HIV/AIDS CPGs are reviewed and updated annually.)

CPGs are not intended as a substitute for the professional assessment of the health care practitioner but to assist the practitioner in the management of certain types of preventive and clinical care. Individual patient treatment may vary from these guidelines based on the health care practitioner's clinical judgment.

Starting Oct. 14, 2022, ConnectiCare has adopted the CPGs in use for EmblemHealth members. These CPGs now apply to all ConnectiCare and EmblemHealth members.