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Provider Guidelines

Pro Care Health Plan, Inc.  (Pro Care) Clinical Practice Guidelines. The Michigan Quality Improvement Consortium (MQIC) distributed these guidelines.  The guidelines were developed in collaboration with Michigan Department of Community Health, Michigan State Medical Society, Michigan Peer Review Organization, Michigan Association of Health Plans, multiple Medicaid and Commercial Health Plans and other organizations.  The guidelines are evidence-based guidelines that are based on recognized sources.

  

Pro Care along with the above organizations has adopted these guidelines.  The Quality Improvement Committee of Pro Care has reviewed these guidelines and has accepted them as written.   Pro Care is requesting that you use these guidelines when providing care and service for your members. We are requesting that the guidelines are implemented as soon as possible.

  

As part of the requirements to meet state regulations, members of the Quality Improvement Department will review your medical records throughout the year to determine compliance with these guidelines.

  

If you have any questions regarding the guidelines, please do not hesitate to contact me at

313-267-0306 or toll free 877-255-3055.

  

Acute Pharyngitis in Children
Adult Preventative Services ( Ages 50 - 65+)
Adult Preventative Services (Ages 18 - 49)
Diagnosis and Management of Adults with Chronic Kidney Disease
Management and Prevention of Osteoporsis
Management of Adults with Chronic Heart Failure
Management of Adults with Major Depression
Management of Diabetes Mellitus
Management of Persistent Asthma in Adults and Children Older than 5 years of Age
Medical Management of Adults with Hypertension
Medical Management of Adults with Osteoarthritis
Management of Persistent Asthma In Infants and Children 5 Years of Age and Younger
MQIC 2009 Acute Pharyngitis Guideline
MQIC 2009 Heart Failure Guideline Feb 2009
MQIC 2009 Mgt Of Overweight and Obesity in the Adult
MQIC 2009 Office-Based Surgery Guideline
Outpatient Management of Uncomplicated Deep Venous Thrombosis
Prevention and Identification of Childhood Overweight
Prevention of Unintended Pregnancy in Adults 18 years and older
Routine PreNatal and Postnatal Care
Routine Preventive Services for Children and Adolescents (Ages 2 - 18)
Routine Preventive Services for Infants and Children (Birth - 24 Months)
Screening and Management of Hyperlipidemia
Screening Diagnosis and Referral for Substance Use Disorders
Tobacco Control
Treatment of Childhood Overweight
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