Below you will find all of the Clinical Practice Guidelines. If you wish to open the following forms, you must have Adobe Acrobat Reader installed on your computer. To download a form, right click on one of the links below and select "Save Target As."
To download a free copy of Adobe Acrobat Reader, click here.
Availability of Criteria
The criteria which is used to make an authorization decision is available to the practitioner over the phone or made available in our office for proprietary criteria. Criteria used from the public domain is facilitated through a URL link or a mailed copy.
Providers requesting the criteria by phone should call Provider Relations at 832-828-1004 and request the Utilization Review manager.
Behavioral Health Guidelines
American Academy of Child and Adolescent Psychiatry Practice Parameters
AACAP Practice Parameter - ADHD
AACAP Practice Parameter - Depressive Disorders
American Academy of Pediatrics Guidelines
AAP Clinical Practice Guidelines - ADHD
American Society of Addiction Medicine
American Psychiatric Association Practice Guidelines
APA - Practice Guideline Major Depressive Disorder
Institute for Clinical Systems Improvement, Health Care Guideline: Major Depression in Adults in Primary Care
National Guideline Clearinghouse – Agency for Healthcare Research and Quality
Texas Health and Human Services - Substance Abuse Outpatient Care
Pediatric Echocardiogram Guidelines
Texas Health Steps Periodicity Schedule
Recommended Immunization Schedule Age 0-18
Catch-up Immunization Schedule Age 0-18
AAP Bright Futures Periodicity Schedule
Adult Immunization Schedule Narrative
Adult Immunization Schedule
Adult Preventative Services
Developmental Screening - Texas Children's Health Plan