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Access to MCG™ Criteria

If you received a denial letter based on MCG™ (formerly known as Milliman Care Guidelines) criteria that says a link to MCG™ criteria is available online, you can access the MCG™ criteria at the link below. To access the MCG™ criteria, enter the following information from your denial letter:

  • Date of letter
  • Member’s last name
  • MCG Guideline Code (stated in the letter)
  • Password (stated in the letter)


Access the MCG criteria

Behavioral Health
Click on the PDF below for the American Society of Addiction Medicine (ASAM) criteria for adolescents and adults.

ASAM Criteria.pdf


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