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:

• Behavioral Health Care (BHG):
• The guidelines for substance‑related disorders have been updated to allow users to identify ASAM citations more easily within MCG content. Benchmarks have been added to the guidelines for Applied Behavioral Analysis, Neuropsychological Testing, Psychological Testing, and Urine Toxicology Testing.
• 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.
• Ambulatory Care (AC):
• A new Gene and Cellular Therapy section was introduced. A new Specialty Medication guideline has also been added. In addition, new guidance for supporting requests for APAP machines has been added.
• Home Care (HC):
• Updates to Clinical Indications for admission were made.

If you have questions, please contact Provider Services at 844‑912-1226.