Clinical Practice Guidelines

Behavioral Health Guidelines for PPO Products

Clinical Practice Guidelines (CPGs) adopted by Blue Cross and Blue Shield of Texas (BCBSTX) 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 BCBSTX, contact us via:

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

The Behavioral Health Condition Case Management Programs offered by BCBSTX include Depression, Alcohol/Substance Abuse Disorders, Anxiety/Panic Disorders, 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 800-528-7264 to have your patient screened and considered for enrollment in a Condition Case Management Program.

Clinical Practice Guidelines for Behavioral Health Conditions

*This guideline is more than 5 years old and under consideration by American Psychiatric Association for revision.