The Alliance uses clinical practice guidelines to help providers make decisions about appropriate care for specific clinical circumstances. Our guidelines are based on valid and reliable clinical evidence or consensus of health care professionals in the relevant field. They also take into consideration the needs of members. Clinical practice guidelines are reviewed by board-certified providers and approved by Alliance governing committees at least every two years.

For guidelines on other health topics, please contact us at livehealthy@alamedaalliance.org.

Preventive Care Guidelines

Preventive Care

For Alliance members 21 years of age and under, the Alliance adheres to the most recent Bright Futures/American Academy of Pediatrics (AAP) Recommendations for Preventive Pediatric Health Care. This is a schedule of screenings and assessments recommended at each well-child visit from infancy through adolescence. To view the full periodicity schedule, please visit: www.aap.org/en/practice-management/care-delivery-approaches/periodicity-schedule.

For asymptomatic healthy adults and pregnant women, the Alliance follows the current U.S. Preventive Services Task Force (USPSTF) A and B Recommendations for providing clinical preventive services. To view current recommendations, please visit: www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations.

Immunizations

The Alliance covers immunizations according to the immunization schedules recommended by the Advisory Committee on Immunization Practices (ACIP) and approved by the Centers for Disease Control and Prevention (CDC) and other medical associations. To view child and adult immunization schedules, please visit: www.cdc.gov/vaccines/schedules.

Perinatal Services

The Alliance provides perinatal services for pregnant members according to the most current standards and guidelines of the American College of Obstetrics and Gynecology (ACOG). To view current guidelines, please visit: acog.org.

Mental and Behavioral Health Services

The Alliance uses the following externally validated criteria for provision and effective management of Behavioral and Mental Health services:

  1. Milliman Clinical Guidelines. To view current guidelines, please visit: Care Guidelines for Evidence-Based Medicine | MCG Health.
  2. Level of Care Utilization System (LOCUS). To view current guidelines, please visit: American Association for Community Psychiatry (AACAP).
  3. Child and Adolescent Level of Care Utilization System (CALOCUS). To view current guidelines, please visit: American Academy of Child and Adolescent Psychiatry.
  4. Early Childhood Service Intensity Instrument (ECSII). To view current guidelines, please visit: American Academy of Child and Adolescent Psychiatry (AACAP).
  5. APA Board Guidelines for Autism Spectrum Disorders. To view current guidelines, please visit: APA-Approved Standards and Guidelines.

 

 

 

 

 

Maternal Mental Health Guidelines

Alameda Alliance for Health (Alliance) values our dedicated provider partner community, and we are here for you. In 2022, California signed Senate Bill (SB) 1207 into law. SB 1207 states that health care service plans shall develop a Maternal Mental Health program designed to promote quality and cost-effective outcomes. The program guidelines below aim to support members at risk for perinatal depression during pregnancy and in the first year after birth. They include quality measures to encourage screening, diagnosis, treatment, and referral.

Maternal Depression Screening Guidelines

Tobacco Cessation Guidelines