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Behavioral Health Clinical Practice Guidelines 2020-2021

Clinical Practice Guidelines (CPGs) adopted by Blue Cross and Blue Shield of Illinois (BCBSIL) are the foundation for the Behavioral Health Care Management Programs. Updates to CPGs are reviewed and adopted at least every two years. If you have any questions about the CPGs adopted by the health plan, email us.

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)

Autism

Bipolar

Depression

Eating Disorders

General

Generalized Anxiety and Panic Disorders

Obsessive Compulsive Disorder

Schizophrenia

Substance Abuse Disorders

 -General

-Opioid

-Alcohol

Suicidal Behavior

Telehealth

-Transgender

-Diversity

-Electroconvulsive Therapy

The Behavioral Health Care Management Programs offered by BCBSIL serve members suffering from Depression, Alcohol/Substance Abuse Disorders, Anxiety/Panic Disorders, Attention Deficit/Hyperactivity Disorder, Bipolar Disorder, Eating Disorders, Schizophrenia and other Psychotic Disorders. If a professional provider has a patient who may benefit from participating in one of the above-mentioned programs, please call Behavioral Health Member Services using the number on the back of the Member’s ID card to have the patient screened and considered for enrollment in a Case Management Program.

The Behavioral Health Clinical Practice Guidelines are applicable to all of our Behavioral Health product lines including Government Programs (Illinois Medicaid). These guidelines are designed to assist clinicians by providing a framework for evaluation and treatment of patients and is not intended to either replace a clinician’s judgment or establish a protocol for all patients with a particular condition. Guidelines for the use of Psychotropic Medication Management are included within each Behavioral Health Clinical Practice Guideline.