Clinical Practice Guidelines

The Clinical Practice Guidelines (CPGs), are adopted by Blue Cross and Blue Shield of Texas (BCBSTX), and are the foundation for the Condition Management Programs.  The CPGs are updated at least every two years or more frequently, as needed. The link below provides information about the CPGs.  You may request a hard copy of the CPGs by calling BCBSTX at 1-866-412-8795 and asking for the Condition Management department. If you would like to comment on the CPGs adopted by Blue Cross and Blue Shield of Texas, contact Dr. Allan Chernov, Medical Director, 1001 E. Lookout Dr., Richardson, TX 75082. Phone number for Dr. Chernov is 1-972-766-1149.

To View Clinical Practice Guidelines
Clinical guideline references are available for the following conditions:

  • Asthma
  • Chronic Obstructive Pulmonary Disease
  • Coronary Artery Disease
  • Chronic/Congestive Heart Failure
  • Depression in Primary Care
  • Diabetes
  • Hypertension
  • Chronic Pain
  • Metabolic Syndrome
  • Oncology
  • Lifestyle Management Programs as part of the Blue Care Connection® Program

The Blue Review provider newsletter features articles regarding the availability of the nationally recognized CPGs as well as the BCBSTX Condition Management Programs.  The Condition Management Programs offered by BCBSTX include asthma, chronic obstructive pulmonary disease, coronary artery disease, congestive heart failure, diabetes, hypertension, metabolic syndrome, oncology, and chronic pain.  These programs are offered by BCBSTX to selected HMO's, all Fully Insured members and the selected PPO/POS members whose employer group has purchased the programs.  If you have a patient who you feel would benefit from one of the above mentioned programs, please call 1-866-412-8795 to enroll them today.

If you would like a hard copy of the clinical practice guidelines, you may contact the BCBSTX Quality Improvement Programs Department at 1-800-863-9798.