Behavioral Health Clinical Practice Guidelines 2015-2016

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:



 Behavioral Health Quality Improvement Program
 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) 

Alzheimer’s and Other Dementias

Attention-Deficit/Hyperactivity Disorder (ADHD)




Eating Disorders

Obsessive Compulsive Disorder

Panic Disorder


Substance Use Disorders

The Behavioral Health Condition Case Management Programs offered by BCBSIL include Depression, Alcohol/Substance Abuse Disorders, Anxiety/Panic Disorders, Attention Deficit/Hyperactivity Disorder, Bipolar Disorder, Eating Disorders, Schizophrenia and other Psychotic Disorders. Condition Case 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 Case Management Program.