Clinical Practice Guidelines

Blue Cross Blue Shield of North Dakota (BCBSND) has put together guidelines to help our members stay healthy. They are based on evidence from well-known medical groups. These guidelines cover things like:

• preventive care
• sudden illnesses
• long-term diseases
• mental health

BCBSND uses these standards to ensure quality and manage health programs. These guidelines apply to:

• Commercial
• Marketplace
• Medicaid Expansion

The guidelines are checked at least once per year with help from health care providers.  If new research or practices come out, they may be revised.

These guidelines help doctors decide how to care for members. They are general and should not replace a doctor's judgment for each case. Other national organizations might have different suggestions.

Note: Some of the material is copyrighted and used with permission:

• Diabetes Standards of Care by ADA
• Hypertension Guidelines by AAFP
• Hypertension Guidelines by AHA
• Smoking Cessation Guidelines by ACA
• Weight Management Guidelines by AACE/ACE