Review evidence-based treatment options for common medical and behavioral health conditions. Clinical practice guidelines are resources* for Humana-participating physicians and other Humana-contracted healthcare professionals.
Guidelines adopted by Humana
Anxiety
Children and adolescents
American Academy of Child and Adolescent Psychiatry
Adults
American Academy of Family Physicians
Attention deficit/hyperactivity disorder
Attention deficit/hyperactivity disorder
American Academy of Family Physicians
Attention deficit hyperactivity disorder
American Academy of Pediatrics
Children with autism spectrum disorder
Autism spectrum disorder
American Academy of Pediatrics
Back pain
Back pain
Department of Veterans Affairs Department of Defense (VA/DoD)
Behavior or conduct problems in children
Behavior or conduct problems in children (Oppositional Defiant Disorder)
Centers for Disease Control and Prevention: (CDC):
Bipolar disorder in adults
Bipolar disorder in adults
Department of Veterans Affairs/Department of Defense
Cardiovascular
ASCVD Risk Estimator Plus
American College of Cardiology (ACC)
Atrial fibrillation
National Institute for Health and Care Excellence (NICE)
Heart failure
American Heart Association/American College of Cardiology/Heart Failure Society of America
Cardiovascular disease and stroke
American College of Cardiology (ACC)/American Heart Association (AHA) Task Force on Clinical Practice Guidelines
Valvular heart disease
American College of Cardiology/American Association Joint Committee on Clinical Practice Guidelines
Cholesterol treatment
Cholesterol Management
Department of Veterans Affairs Department of Defense (VA/DoD)
COVID-19
COVID-19
Infectious Diseases Society of America (IDSA) (New July 2024)
Depression
Adolescents
American Academy of Pediatrics (AAP)
Depression in Primary Care (adults)
Department of Veterans Affairs Department of Defense (VA/DoD)
Depression across three age cohorts
American Psychological Association
Diabetes
Diabetes
American Diabetes Association (ADA)
Fall prevention
Fall prevention
The Task Force on Global Guidelines for Falls in Older Adults
Headache/migraine
Headache/migraine
Department of Veterans Affairs/Department of Defense (VA/DoD)
Human Immunodeficiency Virus (HIV)
HIV
Adult and Adolescent Antiretroviral Agents
Adult and Adolescent Opportunistic Infections
Pediatric Antiretroviral Agents
Pediatric Opportunistic Infections
Perinatal HIV Guidelines
Caring for Persons with HIV in a disaster area
Guidance for COVID-19 and people with HIV
2024
Hypertension
Hypertension
American College of Cardiology/American Heart Association/European Society of Cardiology/European Society of Hypertension Blood Pressure
Immunizations
Childhood immunizations
Centers for Disease Control and Prevention (CDC)
Adult immunizations
Centers for Disease Control and Prevention (CDC)
Incontinence urinary
Women
Journal of Women’s Health
Men
National Institute for Health and Care Excellence (NICE)
Kidney disease
Kidney disease
National Kidney Foundation (NKF)
Please note: The National Kidney Foundation (NKF) is the copyright holder and owner of all content, videos, and images. As such, the NKF hereby grants permission to Humana to use NKF guidelines on Kidney Disease Outcomes Quality Initiative Clinical Practice Guidelines to place on the company's website on Clinical Practice Guidelines for their providers. NKF is providing permission for Humana to be able to link to the NKF guideline at
Obsessive Compulsive Disorders (OCDs)
Obsessive Compulsive Disorder
American Psychiatric Association: (APA)
Opioids
Opioid prescribing
Centers for Disease Control and Prevention (CDC)
Dosage reduction
Health and Human Services (HHS)
Use in pregnancy
American College of Obstetricians and Gynecologists
Oxygen therapy
Adults
American Thoracic Society (ATS)
Reprinted with permission of the American Thoracic Society.
Copyright ©2024 American Thoracic Society. All rights reserved.
Cite: Susan S. Jacobs, Jerry A Krishnan, David J Lederer, Marya Ghazipura, Tanzib Hossain, Ai-Yui M. Tan, Brain Carlin, M. Bradley Drummond, Magnus Ekstrőm, Chris, Garvey, Bridget A. Graney, Beverly Jackson, Thomas Kallstrom, Shandra L. Knight, Kathleen Lindell, Valentin Prieto-Centurion, Elissabetta A. Renzoni, Christopher J. Ryerson, Ann Schneidman, Jeffrey Swigris, Dona Upson, Anne E Holland,/2020/American Journal of Respiratory and Critical Care Medicine/Volume 202/Issue 10/e121-e141
The American Journal of Respiratory and Critical Care Medicine is an official journal of the American Thoracic Society.
Children
American Thoracic Society (ATS)
Reprinted with permission of the American Thoracic Society.
Copyright ©2024 American Thoracic Society. All rights reserved.
Cite: Don Hayes Jr., Kevin C. Wilson, Katelyn Kirvchenia, Stephen M.M. Hawkins, Ian M. Balfour-Lynn, David Gozal, Howard B. Panitch, Mark L. Splaingard, Lawrence M. Rhein, Geoffrey Kurland, Steven H. Abman, Timothy M. Hoffman, Christopher L. Carrol, Mary E. Cataletto, Dmitry Tumin, Eyal Oren, Richard J. Martin, Joyce Baker, Gregory R. Porta, Deborah Kaley, Ann Gettys, Robin R. Deterding, /2018/American Journal of Respiratory and Critical Care Medicine/Volume 199/Issue 3/e5-e23
The American Journal of Respiratory and Critical Care Medicine is an official journal of the American Thoracic Society.
Palliative care
Palliative care
National Coalition for Hospice and Palliative Care
Post-traumatic stress disorder
Post-traumatic stress disorder
Department of Veterans Affairs/Department of Defense
Pregnancy
Pregnancy
Department of Veterans Affairs/Department of Defense (VA/DoD)
Preventive services
Children
American Academy of Pediatrics (AAP)
All Ages (USPSTF)
United States Preventive Services Task Force (USPSTF)
Well-Women routine care
Well Women
The American College of Obstetricians and Gynecologists (ACOG)
Respiratory
Asthma
GINA © 2024 Global Initiative for Asthma, reprinted with permission. Available from www.ginasthma.org
Chronic Obstructive Pulmonary Disease (COPD)
Global Initiative for Chronic Obstructive Lung Disease (GOLD)
© 2024, Global Initiative for Chronic Obstructive Lung Disease, available from
Schizophrenia
Schizophrenia
Department of Veterans Affairs/Department of Defense (VA/DoD)
Sickle cell anemia
Sickle cell anemia
American Society of Hematology
Sleep apnea
Sleep apnea
American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Obstructive Sleep Apnea
Sleep/insomnia
Sleep/Insomnia
Department of Veterans Affairs/Department of Defense (VA/DoD)
Substance use disorders
Adults
Department of Veterans Affairs/ Department of Defense
Suicide
Youth suicide prevention
American Academy of Pediatrics
Adults
Department of Veterans Affairs/Department of Defense
Syphilis (including congenital syphilis)
Syphilis
Centers for Disease Control and Prevention (CDC)
Telehealth
Telehealth
American Medical Association (AMA)
Transgender
ACOG Statement
American College of Obstetricians and Gynecologists (ACOG)
Standard of care
World Professional Association for Transgender Health (WPATH)
Psychological care
American Psychological Association
Humana periodically monitors compliance with nationally recognized clinical practice guidelines.
*Humana publishes medical guidelines from a number of well-respected national sources. These guidelines may have some differences in recommendations. Information contained in the guidelines is not a substitute for a physician’s or other healthcare professional's clinical judgment and is not always applicable to an individual. Therefore, the physician or healthcare professional and patient should work in partnership in the decision-making process regarding the patient's treatment. Furthermore, using this information will not guarantee a specific outcome for each patient. None of the information in the guidelines is intended to interfere with or prohibit clinical decisions made by a treating physician or other healthcare professional regarding medically available treatment options for patients.
Publication of these guidelines is not a promise or guarantee of coverage. Individuals should review their coverage to determine benefits.
Links to other websites are provided for your convenience only and do not constitute or imply endorsement by Humana of these sites, products or services described on these sites, or of any other material contained therein. Humana disclaims responsibility for their content and accuracy.
Patient care
Behavioral health Care Decision Insights - Clinical Practice Guidelines
Health programs Transplant services