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Connecticut

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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  • American Health Holding has been a valued partner for over 12 years. We find them to be very helpful and responsive, especially working with their Case Management department.
    Patty Darrow
    RN, BSN, CCM

    Leggett & Platt Carthage, MO
  • American Health Holding is always looking at ways to innovate and offers each client the opportunity to customize a program that fits their unique needs. Their specialized medical professionals combine compassion, patience and unique knowledge about health care navigation to support the member and plan from both a quality of care and cost perspective.
    Holly Weiske
    Director of Client Services

    Cypress Benefit Administrators Appleton, WI
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    Bill Bixler
    Sr. Account Executive

    The Loomis Company Wyomissing, PA
  • I have been very impressed with American Health's client support. If one person is out I can call someone else who is always willing to assist. This is extremely helpful to our case management and medical review needs.
    Jeannie Couey

    BAS Limited Ridgeland, MS