Clinical Practice Guidelines

EmblemHealth encourages providers to follow the our Clinical Practice Guidelines (CPGs) when treating members with 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 guidelines 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.