Clinical Practice Guidelines

Under Vermont Rule 2009-03, Blue Cross and Blue Shield of Vermont is required to:

“Maximize the number of members receiving care consistent with treatment protocols and practices that are informed by generally accepted medical and scientific evidence and practice parameters consistent with prevailing standards of medical practice as recognized by health care professions in the same specialties as typically provide the procedure or treatment, or diagnose or manage the medical condition, and that are developed with the appropriate clinical input.”

Consistent with this requirement, Blue Cross and Blue Shield of Vermont's quality program has adopted the following guidelines for clinical practice.


Center for Disease Control and Prevention (CDC)

Adult Preventive Immunizations

CDC - Adult Immunizations

Pediatric Preventive Immunizations

CDC - Pediatric Immunizations
U.S. Preventive Services Task Force (USPST)

Colorectal Cancer Screenings

Colorectal Cancer Screenings

Breast Cancer Screenings

Breast Cancer Screenings

Cervical Cancer Screenings

Cervical Cancer Screenings

Chlamydia Screenings

Chlamydia Screenings

Depression Screenings

Depression Screenings
American Psychiatric Association (APA)

Guidelines for the Treatment of Patients with Substance Use Disorders

APA - Treatment of Substance Use Disorders
National Heart, Lung and Blood Institute (NHLBI)

Guidelines for the Diagnosis and Treatment of Asthma

American College of Cardiology (ACC)

Primary Prevention of Cardiovascular Disease

Cardiovascular Disease

Guidelines for Heart Failure

Heart Failure
American Academy of Child and Adolescent Psychology

Practice Parameter for use of Atypical Antipsychotic Medications in Children and Adolescents

Antipsychotic Medications in Children
Global Initiative for Chronic Obstructive Lung Disease

Guidelines for Diagnosis, Management and Prevention of COPD

American Diabetes Association

Standards of Medical Care in Diabetes



If you would like to receive any or all of these guidelines by mail, please call (800) 924-3494 or email

Updated: 12-04-2019