Policy UpdatesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingAugust 6, 2025

MCG Care Guidelines 29th Edition Updates

Effective November 1, 2025, Anthem will implement the MCG Care Guidelines Content Patch 29.1 updates for the following modules. Below is high level summary of the updates and is not intended to be all inclusive.

  • Ambulatory Care (AC):
    • Continuous Glucose Monitoring (A‑0126)
    • Lower Limb Prosthesis (A‑0487)
    • Cervical Spine CT Scan (A‑0025)
    • Thoracic Spine CT Scan (A‑0026)
    • Cochlear Implant (A‑0177)
    • Lower Extremity Soft Tissue Dysfunction Rehabilitation (A‑0529)

  • Home Care (HC):
    • Rib Fracture (M‑2545)
    • Venous Thromboembolism (M‑2290)

For 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, Hoosier Care Connect, and Indiana PathWays for Aging 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.

CPN89268, INBCBS-CD-089669-25

PUBLICATIONS: September 2025 Provider Newsletter