Clinical guidelines and policy bulletins

We’ve chosen certain clinical guidelines to help our providers give members high-quality, consistent care that uses services and resources effectively. These include treatment protocols for specific conditions, as well as preventive health measures. These guidelines are intended to clarify standards and expectations. They should not: 

• Take precedence over your responsibility to provide treatment based on the member’s individual needs
• Substitute as orders for treatment of a member
• Guarantee coverage or payment for the type or level of care proposed or provided

Aetna clinical policy bulletins

Aetna medical clinical policy bulletins

Alcohol abuse

Asthma

Attention deficit hyperactivity disorder

Chronic heart failure

Chronic obstructive pulmonary disease

Cognitive Impairment

Coronary artery disease

Diabetes

Hypertension

Major depressive disorder (PDF)

Opioids for chronic pain

Tobacco cessation

Advisory Committee for Immunization Practice vaccine recommendations

American Academy of Pediatrics periodicity schedule (PDF)

Breastfeeding

CDC vaccine recommendations for pregnant women

Domestic violence

Domestic violence hotline

Hepatitis C screening

HIV

Teen pregnancy

U.S. Preventive Services Task Force A and B recommendations

Women, Infants, and Children (WIC)

WIC prescreening tool