Policy UpdatesMedicare AdvantageFebruary 16, 2024

MCG Care Guidelines 27th edition update

Effective June 1, 2024, Anthem will transition from CG-BEH-02 (Adaptive Behavioral Treatment) and MCG W0153 (Behavioral Health Care (BHG) Applied Behavioral Analysis), to MCG B-806-T (Behavioral Health Care (BHG) Applied Behavioral Analysis (Original MCG Guideline), for medical necessity and clinical appropriateness reviews. 

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

Medicare services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC., or Anthem Blue Cross and Blue Shield Retiree Solutions, trade name of Anthem Insurance Companies, Inc.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NYBCBS-CR-046986-23-CPN46745

PUBLICATIONS: March 2024 Provider Newsletter