Policy UpdatesMedicare AdvantageFebruary 13, 2024

MCG Care Guidelines 27th edition update

Effective June 1, 2024, Anthem Blue Cross will transition from CG-BEH-02 (Adaptive Behavioral Treatment) and MCG W0153 (Behavioral Health Care (BHG) Applied Behavioral Analysis), to MCG B-806-T (Behavioral Health Care (BHG) Applied Behavioral Analysis (Original MCG Guideline), for medical necessity and clinical appropriateness reviews.

For questions, contact the care provider service number on the back of the member's ID card.

Anthem BC Health Insurance Company is the trade name of Anthem Insurance Companies, Inc. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross, Anthem Blue Cross Life and Health Insurance Company, and Anthem BC Health Insurance Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

CABC-CR-046982-23-CPN46745

PUBLICATIONS: March 2024 Provider Newsletter