Clinical Practice Guidelines

MHN began the process of developing Clinical Practice Guidelines in 1997. MHN considers a number of resources in this process, including our own research on the effectiveness of elements of the guidelines, reviewing the literature about treatment of disorders and reviewing guidelines from professional organizations. The guideline is drafted and then reviewed by the MHN Quality Improvement-Utilization Management Committee (QI-UMC). The QI-UMC then submits the guideline to the Health Net Medical Affairs Committee (MAC) with a recommendation that it approve the guideline. Health Net makes the final decision to approve and adopt the guideline.

We currently have the following Clinical Practice Guidelines:

We currently have the following Clinical Position Papers:

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These documents are available online via the links above.  It is important to remember that the guidelines are suggestions for treatment, and elements of the guidelines may not be applicable in all cases.  You must use your clinical judgment in making final decisions about application of the guidelines.

In response to accrediting requirements, MHN evaluates compliance with our Practice Guidelines in the following ways:

For Substance Use Disorder we monitor:

  • whether the patient was referred to a self-help/peer support group
  • the HEDIS AOD Initiation Measure
  • the HEDIS AOD Engagement Measure

Information gleaned from the evaluation of compliance with the Clinical Practice Guidelines will be used both to improve practitioner performance and also in MHN's process to update and improve our Clinical Practice Guidelines.