Behavioral Health Clinical Practice Guidelines 2022-2023

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)




Eating Disorders


Generalized Anxiety and Panic Disorders

Obsessive Compulsive Disorder


Substance Abuse Disorders




Suicidal Behavior


-Transgender Health


-Electroconvulsive Therapy


Trauma-Informed Care

The Behavioral Health Care Management Programs offered by BCBS 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 HCSC BH product lines including Illinois Government Programs (MMAI, BCCHP, and MLTSS). 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.