Clinical Criteria
Clinical Criteria Care Guidelines
Golden Physicians Medical Group utilizes the Care Guidelines to determine medical necessity for the plans that we manage. The Guidelines are the protected intellectual property of MCG. Golden Physicians Medical Group is not able to distribute them without the permission of MCG.
MCG has provided a tool that allows Golden Physicians Medical Group members and prospective members to view relevant MCG guidelines, however you will not be able to print them.
Please refer to the links and information below to access the MCG guidelines.
- To obtain a copy of the UM criteria used please contact the UM department at 888-909-0270 M - F 8 am to 5 pm.