Anthem adopts neonatal level of care reviews (Neonatal Levels of Care, CG-MED-26)
This guideline addresses the level of care review for NICU admissions. The medical necessity criteria is based on peer reviewed literature and evidence based practice guidelines.
Please note, this program does not apply to the National Accounts, Medicaid and Medicare plans.For questions, please contact the provider service number on the back of the member ID card.
November 2018 Anthem Ohio Network eUpdate