Clinical Practice Guidelines

Clinical Practice Guidelines (CPGs) and Preventive Care Guidelines are adopted by BCBSMT 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 BCBSMT Clinical Quality Committee.

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:

HIV Clinical Practice Guidelines

Shared Decision-Making 

Shared decision-making is a communications process. It’s a way for providers and patients to make informed health care decisions that align with what matters most to patients. Below are resources to help you involve your patients in shared decision-making.

These evidence-based aids provide information about treatment options, lifestyle changes and outcomes. They don’t replace your guidance but can help your conversations with patients.

Why it’s important: When patients help make decisions about their health care, it can lead to improved patient experience, better outcomes, and quality of life.

        Mayo Clinic Knowledge and Evaluation Research Unit Care That Fits Tools

The above material (under Mayo Clinic Knowledge and Evaluation) is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment. References to other third-party sources or organizations are not a representation, warranty, or endorsement of such organization. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their member guide or member contract for more details, including benefits, limitations, and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.