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Clinical Practice Guidelines

Clinical Practice Guidelines for Illinois Commercial, Marketplace and Medicare plans

Clinical Practice Guidelines (CPGs) and Preventive Care Guidelines are adopted by BCBSIL and are the foundation for selected Condition Management Programs. These guidelines are based on established evidence-based standards of care, publicized by specialty societies and national clinical organizations. These guidelines are updated at least every 2 years and when new significant findings or major advancements in evidence-based practices and standards of care are established. These guidelines are current and have been reviewed and approved by the BCBSIL Clinical Quality Committee. If you have any questions about the guidelines, or wish to provide feedback, this can be done by contacting the Quality Improvement Department at 312-653-3465. 

The Clinical Practice Guidelines (CPGs) are meant to serve as general guidelines and are not intended to substitute for clinical judgment in individual cases. The links below provide information about the CPGs:

Clinical Practice Guidelines for Illinois Medicaid Plans

The Clinical Practice Guidelines for Illinois Medicaid plans are adopted by BCBSIL through the Quality Assurance Committee. These guidelines are based on established evidence-based best practice standards of care, publicized by leading academic and national clinical organizations. These guidelines are updated annually and when new significant findings or major advancements in evidence-based best practices and standards of care are established. If you have any questions about the guidelines, or wish to provide feedback on the guidelines, this can be done by contacting the Quality Improvement Department at 312-653-6674. 

The Clinical Practice Guidelines (CPG’s) are meant to serve as general guidelines and are not intended to substitute for clinical judgment in individual cases. The links below provide information about the CPGs: