Clinical Care Guidelines Overview
Our member's health benefit plan may make decisions using criteria from the clinical care guidelines provided by MCG Health.
Access Appropriate Clinical Care
At Anthem our clinical care guidelines assist healthcare practitioners and members in making decisions to determine the appropriate care for specific clinical circumstances. These are not fixed obligations or agreements but are intended for health professionals to review and assess when making clinical decisions and ultimately, improve the quality of member care.
To access the correct coverage guideline tool for the member in question, please:
- Locate the appropriate state from our list of options
- Select the state with the member’s correct health benefit plan to ensure the correct data can be accessed.
- Follow the steps in the selected Coverage Guidelines tool to access correct criteria.