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.

 

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Featured In:
September 2019 Anthem New Hampshire Provider News