Clinical Practice Guidelines and Recommendations

American Academy of Pediatrics (AAP)
Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis | Pediatrics | American Academy of Pediatrics (aap.org)
American Academy of Pediatrics (AAP)
Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity | Pediatrics | American Academy of Pediatrics (aap.org)
National Kidney Foundation (NKF)
KDOQI Guidelines/Commentaries
Centers for Disease Control and Prevention (CDC)
CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022 | MMWR
Centers for Disease Control and Prevention (CDC)
- Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children – PMC
American Psychological Association
APA Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts

American Psychiatric Association
Major depressive disorder: Validated treatments and future challenges - PMC (nih.gov)
American Diabetes Association (ADA)
Volume 47 Issue Supplement_1 | Diabetes Care | American Diabetes Association (diabetesjournals.org)
American Academy of Neurology (AAN)
- Practice Guideline Update: Acute Treatment of Migraine in Children and Adolescents
- Practice Guideline Update: Pharmacologic Treatment for Pediatric Migraine Prevention
American Academy of Pediatric Dentistry (AAPD)
- Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents
Substance Abuse and Mental Health Services Administration (SAMHSA)
Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants | SAMHSA Publications and Digital Products
American Society of Addiction Medicine (ASAM)
ASAM Clinical Guidelines

Medical Determination Criteria

BCBSAZ Health Choice’s clinical and medical management teams use national guidelines and resources when making medical determinations. The resources include, but are not limited to:

To obtain BCBSAZ Health Choice’s national and state recognized medical necessity criteria applied to behavioral health and medical decisions, please contact 1-800-322-8670 (TTY: 711).

For more information about care management at BCBSAZ Health Choice, please call:

BCBSAZ Health Choice
Toll- free: 800-322-8670
Maricopa County: 480-968-6866

Call Us

CRISIS HELP: 1-844-534-HOPE (4673) or Text 4HOPE (44673)
24/7 Nurse Advice Line: 1-888-267-9037
Call Us: 1-800-322-8670 (TTY:711)