Behavioral Health Clinical Practice Guidelines

BlueCross BlueShield of Montana
Behavioral Health Care Management
Clinical Practice Guidelines 2015–2016

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

If you have any questions about the CPGs adopted by Blue Cross and Blue Shield of Montana (BCBSMT):


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


Clinical Practical Guidelines

Select from the links listed below to view CPGs for behavioral health conditions:

Acute Stress Disorder and Posttraumatic Stress Disorder (PTSD)

Alzheimer's and Other Dementias

Attention-Deficit/Hyperactivity Disorder (ADHD)




Eating Disorders

Obsessive Compulsive Disorder

Panic Disorder


Substance Use Disorders

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.

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