Medicare AdvantageAugust 31, 2019
Customizations to the 23rd edition of the MCG Care Guidelines
Effective November 1, 2019, customizations will be implemented for chemotherapy and inpatient & surgical care (W0162) for adult patients. The customizations provide specific criteria and guidance on the following:
- Clinical indications for admission; examples will also be added for:
- o Aggressive hydration needs that cannot be managed in an infusion center.
- o Prolonged marrow suppression.
- Regimens that cannot be managed outpatient; examples will also be added.
Providers can view a summary of the 23rd edition of the MCG Care Guidelines customizations online by selecting Customizations to MCG Care Guidelines 23rd Edition.
PUBLICATIONS: September 2019 Anthem Connecticut Provider News
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