HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 17, 2025
MCG Care Guidelines 29th edition
Effective June 1, 2025, HealthKeepers, Inc. 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.
If you have questions, please contact Provider Services at 800‑901-0020.
HealthKeepers, Inc. is an independent licensee of the Blue Cross Blue Shield Association. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
VABCBS-CD-074808-24-CPN74542
PUBLICATIONS: March 2025 Provider Newsletter
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