Passport Health Plan’s mission is to improve the health and quality of life of our members. With this in mind, Passport Advantage has adopted the enclosed Clinical Practice Guidelines. The intent of the guidelines is to support your efforts in the care and education of our members and to reduce variation in diagnosis and treatment.

The Plan makes every effort to ensure that current scientific data and expert opinion is the basis for each guideline. Each guideline is evaluated as new data becomes available or at a minimum of every two years. Passport Advantage monitors provider compliance and member outcomes related to these clinical guidelines for quality improvement initiatives and recredentialing efforts.

These guidelines are intended to assist the practitioner in clinical decision-making and attempt to define clinical practices that apply to most patients in most circumstances.

The treating practitioner should make the ultimate decision regarding the care of a particular patient. If you would like a hard copy of the guidelines, please contact the Quality Improvement nurse at (800) 578-0636, ext. 8259.

Acute Bronchitis

Acute Pharyngitis

Adult Obesity



Care of the Older Adult

Chronic Kidney Disease

Congestive Heart Failure (CHF)



Flu Vaccine

Guide to Clinical Preventative Services 2014

Low Back Pain

Management of High Blood Pressure in Adults

Major Depressive Disorder


Panic Disorder


Sickle Cell Disease

Substance Use Disorder

Viral Upper Respiratory Infection in Adults and Children

Last Modified: March 24, 2017