Clinical Practice Guidelines
Behavioral Health Guidelines for PPO Products
Clinical Practice Guidelines (CPGs) adopted by Blue Cross and Blue Shield of Illinois (BCBSIL) are the foundation for the Behavioral Health Condition Management Programs. Updates to CPGs are reviewed and adopted periodically.
If you have any questions about the CPGs adopted by BCBSIL:
Mail Behavioral Health Quality Improvement Program Email
Attention: CPG Coordinator
1001 East Lookout Drive
Richardson, TX 75082
Select from the links listed below to view CPGs for behavioral health conditions:
Acute Stress Disorder and Posttraumatic Stress Disorder (PTSD)
- “Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder”
(2004) American Psychiatric Association - “Guideline Watch: Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder”
(2009) American Psychiatric Association
Attention-Deficit/Hyperactivity Disorder (ADHD)
- “Practice Parameter for the Assessment and Treatment of Children and Adolescents with Attention-Deficit/Hyperactivity Disorder”
(2007) American Academy of Child and Adolescent Psychiatry
Bipolar
- “Practice Guideline for the Treatment of Patients with Bipolar Disorder 2nd Edition”
(2002) American Psychiatric Association - “Guideline Watch: Practice Guideline for the Treatment of Patients with Bipolar Disorder, 2nd Edition”
(2005) American Psychiatric Association
Eating Disorders
- “Practice Guideline for the Treatment of Patients with Eating Disorders 3rd Edition”
(2006) American Psychiatric Association -
“Guideline Watch: Practice Guideline for the Treatment of Patients with Eating Disorders 3rd Edition”
(2012) American Psychiatric Association
Depression
- “Practice Guideline for the Treatment of Patients with Major Depressive Disorder 3rd Edition”
(2010) American Psychiatric Association - “Practice Parameter for the Assessment and Treatment of Children and Adolescents with Depressive Disorders”
(2007) American Academy of Child and Adolescent Psychiatry
Obsessive Compulsive Disorder
- “Practice Guideline for the Treatment of Patients with Obsessive-Compulsive Disorder”
(2007) American Psychiatric Association
Panic Disorder
- “Practice Guideline for the Treatment of Patients with Panic Disorder 2nd Edition”
(2009) American Psychiatric Association
Schizophrenia
- “Practice Guideline for the Treatment of Patients with Schizophrenia 2nd Edition”
(2004) American Psychiatric Association - “Guideline Watch (September 2009): Practice Guideline for the Treatment of Patients with Schizophrenia”
(2009) American Psychiatric Association
Substance Use Disorders
- “Practice Guideline for the Treatment of Patients with Substance Use Disorders 2nd Edition”
(2006) American Psychiatric Association - “Guideline Watch (April 2007): Practice Guideline for the Treatment of Patients with Substance Use Disorders 2nd Edition”
(2007) American Psychiatric Association
The Behavioral Health Condition Management Programs offered by BCBSIL include Depression, Alcohol/Substance Abuse Disorders, Anxiety/Panic Disorders, Bipolar Disorder, Eating Disorders, Schizophrenia and other Psychotic Disorders. Condition Management Programs are offered to PPO Fully Insured members and PPO members whose employer group has purchased the programs. If a professional provider has a patient who may benefit from participating in one of the above mentioned programs, please call Behavioral Member Services at (800) 851-7498 to have your patient screened and considered for enrollment in a Condition Management Program.