Clinical Practice Guidelines Available Online

guidelines onlineHighmark’s Preventive Health Guidelines have been updated, and are consistent with U.S. Preventive Services Task Force, Bright Futures, Woman’s Preventive Health, and Advisory Committee on Immunization Practices (ACIP) guidelines.

The following clinical practice guidelines have been reviewed and approved by the Highmark Blue Shield (BS) Quality Management Committee (QMC) and can be viewed on the Provider Resource Center (PRC). Choose EDUCATION/MANUALS from the left menu and then select Preventive Health Guidelines.

Once there, you will find these resources:

Preventive Health Guidelines

  • Prenatal/Perinatal Guidelines
  • Children Ages 0-6 Guidelines
  • Children Ages 7-18 Guidelines
  • Adult Ages 19-64 Guidelines
  • Adult 65 and Older Guidelines
  • Women's Preventive Health Services Addendum
  • Perinatal Depression Prevention Counseling Coding Guidelines
  • PrEP Related Services Coding Guidelines

Immunizations Schedules

HIV Guidelines

In addition, the QMC has reviewed and approved the HIV Guidelines, which are available here.

To request a paper copy of any of these guidelines, please call 877-878-8785, option 2. Leave your name, address, and the specific guideline you are requesting.