Clinical Practice Guidelines

Clinical Practice Guidelines for Texas Commercial, Marketplace and Medicare plans

Clinical Practice Guidelines (CPGs) and Preventive Care Guidelines are adopted by BCBSTX 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 BCBSTX 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 1(800) 863-9798 or by email at: ClinicalPracticeGuidelines@bcbstx.com.

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:

Note: Some of the material is copyrighted and has been used by permission:

Asthma – Guidelines for Diagnosis and Management 

Cardiovascular Disease Guidelines 

Chronic Kidney Disease Guidelines  

COPD & Diagnosis Management and Prevention 

Diabetes Mellitus – Standards of Care 

Heart Failure Guidelines 

HIV Clinical Practice Guidelines

Hypertension Guidelines 

Management of Overweight and Obesity in Adults 

Metabolic Syndrome Guidelines 

Sleep Apnea Guidelines 

Tobacco Cessation Guidelines