Preventive and clinical practice guidelines are based on the health needs and opportunities for improvement identified as part of the Quality Assurance Program Improvement (QAPI) program. Whenever possible, PA Health & Wellness adopts preventive and clinical practice guidelines that are published by nationally recognized organizations or government institutions as well as state-wide collaborative and/or a consensus of healthcare professionals in the applicable field.
These guidelines are intended to clarify standards and expectations for providers. They should not:
- Come before the providers’ responsibility to provide treatment based on the participant’s individual needs.
- Substitute as orders for treatment of a participant.
- Guarantee coverage or payment for the type or level of care proposed or provided.
Pennsylvania Health and Wellness has adopted the evidence based guidelines published by the National Guideline Clearinghouse.