WELLPOINT PARTNERSHIP PLAN, LLC Medical Policies and Clinical UM Guidelines
Medical Policies & Clinical UM Guidelines
Welcome to Anthem’s Medical Policy & Clinical UM Guideline website. Our goal in creating this application is to provide you with ready access to electronic versions of medical policies and clinical UM guidelines.
Finding Medical Policies & Clinical UM Guidelines
Anthem’s Medical Policies are listed by the following categories under the tabs noted above:
| All Medical Policies|
| Policies by Type|
Anthem’s Clinical UM Guidelines are listed by the following categories under the tabs noted above:
| All UM Guidelines|
| Guidelines by Type|
You can locate a medical policy or clinical UM guideline by clicking on a category, or by browsing all medical policies or all clinical UM guidelines, or by using the search function.
Search for Medical Policies & Clinical UM Guidelines
Customizations to MCG Care Guidelines
This document provides a summary of customizations to the MCG Care Guidelines 20th Edition (effective May 2, 2016).
This document provides a summary of customizations to the MCG Care Guidelines 21st Edition (effective May 1, 2017).
The following contact us e-mail address is for questions related to the research and development of medical policies and clinical Utilization Management (UM) guidelines found on this site. For those inquiries please use the following link: Contact Us
Please direct inquiries related to benefit coverage, new ID cards, billing practices, prior authorization, pre-determination or reimbursement and any other inquiries unrelated to medical policy or clinical guidelines to the local plan provider representative, billing/reimbursement department or Customer Service, as applicable, by calling the number listed on the member ID card. We will not be able to respond to those inquiries.