AdministrativeCommercialJuly 31, 2019

Empire customization's to MCG care guidelines 23rd edition

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Effective November 1, 2019, the following MCG care guideline 23rd edition customization will be implemented for Chemotherapy, Inpatient & Surgical Care (W0162) for adult patients. This customization provides specific criteria and guidance on the following:
  • Revised Clinical Indications for admission and added examples for:
    • Aggressive hydration needs that cannot be managed in an infusion center
    • Prolonged marrow suppression
  • Added Regimens that cannot be managed as an outpatient with examples

 

Go online to view the summary of MCG 23RD edition customizations.

 

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

PUBLICATIONS: August 2019 Empire Provider News