Condition Management Guidelines
Clover’s Condition Management Guidelines are intended to serve as a guide to evidence based practice and are not intended to serve as medical advice or replace the clinical judgment of treating Providers.
Condition Management Guidelines are not used by Clover to determine benefit coverage. Each member should review his/her Summary of Benefits and Evidence of Coverage for details related to coverage, procedures, and exclusions prior to receiving treatment.
Adult Obesity
Asthma
Atrial Fibrillation Management
Behavioral Health Screening
Cholesterol Management
Chronic Obstructive Pulmonary Disease (COPD)
Coronary Artery Disease
Diabetes Care
- American Diabetes Association (ADA) Standards of Medical Care in Diabetes
- ADA Diabetes Standards — Abridged for Primary Care
Heart Failure
- 2013 ACCF/AHA Guideline for the Management of Heart Failure: Executive Summary
- Full Document
- 2017 Focused Update to ACCF/AHA Guideline for the Management of Heart Failure
HIV/AIDS
Hypertension
Lower Back Pain
Osteoporosis
Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery
Prevention
- American Academy of Family Physicians (AAFP) Summary of Recommendations for Clinical Preventive Services
- USPSTF Published Screening Recommendations
- United States Preventive Services Task Force - Task Force Findings - The Community Guide
Tobacco Cessation
- 2018 American College of Cardiology Expert Consensus Decision Pathway on Tobacco Cessation Treatment
- Clinical Guidelines for Prescribing Pharmacotherapy for Smoking Cessation
Chronic Pain and Opioids