Clinical Practice Guidelines

HSCSN has adopted the following clinical practice guidelines, standards and schedules to ensure the best and most current quality of care is provided to enrollees.

Asthma

• Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (National Heart, Lung, & Blood Institute, 2007)
• 2020 Focused updates to the Asthma Guidelines (National Asthma Education and Prevention Program Coordinating Committee Expert Panel Workgroup, NHLBI, 2020)

Attention Deficit-Hyperactivity Disorder

• Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (American Academy of Pediatrics, 2019)

Autism Spectrum Disorder

• ASD - AACAP 2014 Practice Parameter (2014)
• ASD - AAP ID Eval Management of Children with ASD 2020 (2020)

Care Coordination

• Care Coordination - CMSA Standards of Practice (2016)
• Care Coordination - NASHP National Standards for CYSHCN (2020)

Cerebral Palsy

• Providing a Primary Care Medical Home for Children and Youth with Cerebral Palsy (2022)

Congenital Heart Disease and Cardiology

• The Care of Children with Congenital Heart Disease in their Primary Medical Home (2017)

Coronavirus (COVID-19)

• Interim Guidance Regarding Multisystem Inflammatory Syndrome in Children (MIS-C) (DC Health, 2020)
   

Dental Care

• Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents 
  (American Academy of Pediatric Dentistry, 2022)
• Guideline on Management of Dental Patients with Special Health Care Needs 
  (American Academy of Pediatric Dentistry, 2021)

Diabetes

• Management of Newly Diagnosed Type 2 Diabetes Mellitus (T2DM) in Children and Adolescents 
  (American Academy of Pediatrics, 2013)
• Standards of Medical Care in Diabetes
  (American Diabetes Association, updated 2021)

Healthcare Transition

• Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home (American Academy of Pediatrics, 2018) 
• Considerations for Alternative Decision-Making When Transitioning to Adulthood for Youth with Intellectual and Developmental Disabilities (American Academy of Pediatrics, 2024)

HIV 

• Federally Approved Clinical Practice Guidelines for HIV/AIDS (NIH, https://clinicalinfo.hiv.gov/en/guidelines) 

Influenza

• Recommendations for Prevention and Control of Influenza in Children 2024-2025 (American Academy of Pediatrics, 2024)

Immunizations

• Recommended Immunization Schedules, Centers for Disease Control (CDC) website: Vaccines & Immunizations | Vaccines & Immunizations | CDC
   

Mood Disorders

• Mood - AACAP 2023 CPG for the Assessment & Tx of Ch & Adol with Major and Persistent Depressive Disorders (2023)
• Mood - APA 2010 Treatment of Patients with Major Depressive Disorder (2010)

OB & Perinatal Care

• The Initial Reproductive Health Visit (2024)
  American College of Obstetricians and Gynecologist
• OB - ACOG Guidelines for Perinatal Care (2017)

Opioid Prescribing

• Opioids Prescribing Guidelines – Factsheet (2014)
  Centers for Disease Control and Prevention
• Guideline for Prescribing Opioids for Chronic Pain (2016)
  Centers for Disease Control and Prevention

Overweight and Obesity

• Pediatric Obesity—Assessment, Treatment, and Prevention (European Society of Endocrinology & Pediatric Endocrine Society 2017)
• Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity (American Academy of Pediatrics, 2023)

Periodicity Schedules

• DC HealthCheck Periodicity Schedules (2021)
  A periodicity schedule represents the guidelines for the frequency of visits and the types of screenings and health assessments that should be conducted at each visit.
• DC Medicaid HealthCheck Periodicity Schedule 
• DC Medicaid HealthCheck Dental Periodicity Schedule 
• DC Medicaid Lead Screening Periodicity Schedule (2022)
• DHCF and DOEE Joint Letter Regarding Lead Poisoning Prevention Week (2019)

Respiratory Syncytial Virus (RSV) Disease

• Updated Guidance for Palivizumab Synagis® Prophylaxis among Infants and Young Children at Increased Risk of Hospitalization for Respiratory Syncytial Virus Infection (American Academy of Pediatrics, 2014) 
• Palivizumab Prophylaxis in Infants and Young Children at Increased Risk of Hospitalization for Respiratory Syncytial Virus Infection (AAP, 2023)
• Use of Nirsevimab for the Prevent of Respiratory Syncytial Virus Disease Among Infants and Young Children: Recommendations of the Advisory Committee on Immunization Practices—United States (ACIP, 2023)

Sickle Cell Disease

• Health Supervision for Children and Adolescents with Sickle Cell Disease: Clinical Report (American Academy of Pediatrics, 2024)
• Evidenced-Based Management of Sickle Cell Disease, Expert Panel Report, 2014 (National Heart Lung & Blood Institute, 2014)
• Guideline for Sickle Cell Disease: Prevention, Diagnosis, and Treatment of Cerebrovascular Disease in Children and Adults (American Society for Hematology, 2020)
• Guidelines for Sickle Cell Disease: Cardiopulmonary and Kidney Disease (American Society for Hematology, 2019)
• Guidelines for Sickle Cell Disease: Management of Acute and Chronic Pain (American Society of Hematology, 2020)
• Guidelines for Sickle Cell Disease: Transfusion Support (American Society of Hematology, 2020) 

Spina Bifida

• Providing a Primary Care Medical Home for Children and Youth with Spina Bifida (2011)

Substance Use Disorders

• Substance Use - AACAP 2005 Practice Parameter (2005)
• Substance Use - ASAM GL OUD includes Adolescents (2020)