Evidence-based care guidelines from MCG are the industry’s source of truth for hospitals, health plans, and government healthcare agencies. Recognized as the gold standard in clinical …

Mar 4, 2025 · Updates in the 29th edition of the nationally recognized guidelines were driven by recent regulatory changes in Medicare Advantage, new diagnoses with criteria for observation …

A new guideline was developed for MCG General Recovery Care for patients who may be appropriate for hospital-at-home (HaH) level of care. Three new pediatric guidelines were …

Jul 1, 2025 · The 29th edition of MCG’s Care Guidelines is now available for providers to use when submitting authorization requests. The technical issue that delayed the implementation …

The below tables highlight new guidelines and changes. Updates marked with an asterisk (*) notate that the criteria may be perceived as more restrictive.

The latest edition of the Milliman Care Guidelines is now available. This updated version reflects the most recent changes and best practices in clinical guidelines.

MCG Health provides the industry’s leading evidence-based guidance and technologies to optimize health outcomes, drive operational efficiency, and achieve cost savings. MCG is …

Feb 17, 2025 · New guidelines have been added to self‑management and low‑intensity disease management pediatric guidelines. If you have questions, please contact Provider Services at …

Effective June 1, 2025, Blue Cross NC 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 …

Effective June 1, 2025, Healthy Blue 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 …