Clinical Practice Guidelines

Behavioral Health Guidelines

Clinical Practice Guidelines (CPGs) adopted by Blue Cross and Blue Shield of Texas (BCBSTX) are the foundation for the Behavioral Health Care Management Programs. Updates to CPGs are reviewed and adopted every two years.

If you have any questions about the CPGs adopted by BCBSTX, contact us via:

Mail Behavioral Health Quality Improvement Program
Attention: CPG Coordinator
1001 East Lookout Drive
Richardson, TX 75082

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). 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.

Clinical Practice Guidelines for Behavioral Health Conditions

Select from the links listed below to view CPG’s for Behavioral health conditions: