Blue Cross and Blue Shield of Texas’ (BCBSTX) Preventive Care, and Medical and Behavioral Health Clinical Practice Guidelines are published electronically as a resource for network health care providers within the BCBSTX provider website, and in the Physician and Professional Provider Manuals.
The Preventive Care Guidelines are based upon recommendations from national organizations, including the U.S. Preventive Services Task Force, the Advisory Committee on Immunization Practices, the American Cancer Society, the American Congress of Obstetricians and Gynecologists, and the American Academy of Pediatrics. The guidelines include recommendations for age and gender-specific preventive care services for infants, children, adolescents, adults and perinatal care. The guidelines are usually reviewed and updated on an annual basis. Please refer to the full Preventive Care Guidelines document (below) for the full list of sources.
Medical and Behavioral Health Clinical Practice Guidelines are reviewed at least every two years. Guideline sources are reviewed monthly and updates may be made sooner than every two years if there have been substantive changes to the sources on which the guidelines are based. Following is a list of a few of the BCBSTX medical and behavioral health clinical practice guidelines and their sources.
| Guideline | Source |
| Asthma | National Heart, Lung, and Blood Institute |
| Attention Deficit/Hyperactivity Disorder | American Academy of Pediatrics |
| Cardiovascular Disease | American Heart Association American College of Cardiology Foundation United States Preventive Services Task Force American Society of Hypertension |
| Depression | Institute for Clinical Systems Improvement American Psychiatry Association |
| Diabetes | American Diabetes Association |
| Hypertension | Eighth Joint National Committee |
For a complete list of the Preventative Care Guidelines, and Medical and Behavioral Health Clinical Practice Guidelines, please use the following links:
Preventive Care and Clinical Practice Guidelines are provided for informational and educational purposes only, and are not a substitute for the independent medical judgment of a doctor. Physicians and health care providers are instructed to exercise their own independent medical judgment. The final decision about any medical services or treatment is between the patient and their health care provider.