Clinical guidelines

ADHD

• Guidelines and toolkits 

Asthma

• Asthma tool kit
• 2020 Asthma Management Guidelines At-A-Glance  (pdf, reviewed 2025)
• 2020 Asthma Management Guidelines  (pdf, reviewed 2025)

Behavioral health

You can review guidelines and criteria for determining appropriate behavioral health care for members at the following link:

• Carelon Behavioral Health criteria (Log in using "Massachusetts" as your state and "Fallon Health" as your plan.)

COPD

• GOLD Initiative for Chronic Obstructive Lung Disease Pocket Guide to COPD Diagnosis, Management, and Prevention (pdf, updated 2025)

Depressive disorders

• Practice Guideline for The Treatment of Patients With Major Depressive Disorder, American Psychiatric Association - published 2010, reviewed April 2017 (pdf)

Diabetes care 

• Standards of Medical Care in Diabetes 2025 (pdf, updated 2025)

Elder abuse and neglect

• Guideline for assessing elder abuse and neglect (pdf, reviewed 2025)

Heart failure

• 2022 ACC/AHA HFSA Guideline for the Management of Heart Failure (pdf, reviewed 2025)

Immunization schedules

From the US Department of Health and Human Services Center for Disease Control and Prevention

• 2025 recommended immunizations for children from birth through 18 years old (pdf, updated 2025)
• 2025 recommended immunizations for adults, by age (pdf, updated 2025)

Perinatal

• Perinatal recommendations (pdf, updated 2025)

Preventive Care

• Adult preventive care guidelines (pdf, updated 2025)
• Pediatric preventive care guidelines (pdf, updated 2025)

Opioids for Chronic Pain 

• CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022 (pdf, reviewed 2025)

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