Medical Necessity Criteria (MCG Care Guidelines)

Follow the instructions below for access to MCG Guidelines

Step 1: Acess the MCG care Guidelines, read the disclaimer, and accept the “Terms and Conditions”.

Step 2: Complete the User Information Form.

Step 3: Click on the arrow icon.

Step 4: Click on the guidelines you wish to view.

MCG Guidelines Notice

CenCal Health uses MCG Guidelines to help review medical necessity for health service requests. MCG Guidelines are the protected intellectual property of MCG. CenCal Health is not able to distribute them without the permission of MCG. MCG has provided a tool that allows CenCal Health members and prospective members to view relevant MCG guidelines, however you will not be able to print them.