Clinical Practice Guidelines and Evidence-Based Practices

Clinical Practice Guidelines are designed to be a resource to clinicians in the evaluation and treatment of patients in specific clinical circumstances. The CPGs are adopted from nationally recognized entities, or developed from current medical information, and clinical experts. They are reviewed and approved internally.

CPGs are not absolute standards or minimal levels of care, nor do they replace clinical judgement.

The goal of Evidence-Based Practice is the integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve.

UM Resources

Referral Form

To refer a PCN member to a Care Navigator, fill out this form or call Care Integration:

Toll Free MO PCN Phone:
1-877-347-9367
Toll Free KS PCN Phone:
1-833-802-6427
Toll Free Fax:
1-888-670-7260


Prior Authorization Quick Guide for Missouri Pediatric Care Network Members
office resource

Utilization Management Plan

Member Handbooks:

Provider Manuals:

Clinical Determination Guidelines:

PCN Care Integration
(888) 670-7262

PCN Prior Authorization Fax
(888) 670-7260

PCN Prior Authorization Phone
(877) 347-9367


See All Resources



Case Management and Disease Management

Referral Form

To refer a PCN member to a Care Navigator, fill out this form or call Care Integration:

Kansas Members
1-833-802-6427
Missouri Members
1-877-347-9367

Care Integration Program Guide
office resource

Case Management Quick Guide
office resource

Childhood Blood Lead Testing and Follow-Up Guidelines
office resource

HCY Lead Risk Assessment Guide
(Missouri)
office resource

Preventing Lead Poisoning:

Lead Prenatal Assessment
office resource


See All Resources


Get In Touch

2420 Pershing Road, Suite G10
P.O. Box 411596, Kansas City, MO 64141

888-670-7261

816-701-4525

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