MCG Care Guidelines 29th edition

Effective June 1, 2025, Anthem will upgrade to the 29th edition of MCG Care Guidelines for the following modules. Below is high level summary of the updates and is not intended to be all inclusive:

• Inpatient & Surgical Care (ISC):
• Five new observation care guidelines have been added. Also, a new mean arterial pressure (MAP) calculator has been added.
• General Recovery Care (GRG):
• A new Hospital‑at-Home General Recovery Guideline has been added.
• Recovery Facility Care (RFC):
• The discharge planning section for Inpatient Rehabilitation Facility guidelines was expanded.
• Chronic Care (CCG):
• New guidelines have been added to self‑management and low‑intensity disease management pediatric guidelines.

If you have questions, please contact Provider Services at 800-450-8753.