Policy UpdatesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 6, 2024

MCG Care Guidelines 28th edition

Effective May 1, 2024, Anthem will upgrade to the 28th edition of original (non-customized) MCG Care Guidelines for the following modules:

  • Behavioral Health Care (BHG)
  • Inpatient & Surgical Care (ISC)
  • General Recovery Care (GRG)
  • Recovery Facility Care (RFC)
  • Chronic Care (CCG)
  • Ambulatory Care (AC)
  • Home Care (HC)
  • Multiple Condition Management (MCM)
  • Transitions of Care (TC)
  • Patient Information (PIP)

If you have questions, please contact the Provider Service number on the back of the member's ID card.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan, and Hoosier Care Connect through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. This includes but is not limited to authorization, covered benefits and services, and claims submittal. If you have questions, please contact your group administrator or your Anthem network representative.

INBCBS-CD-049834-24-CPN49488

PUBLICATIONS: April 2024 Provider Newsletter