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Access to ASAM criteria for members

 

Read the Introduction to ASAM criteria for members (PDF)

 

If you received a denial letter based on American Society of Addiction Medicine (ASAM) criteria that says a link to the ASAM criteria we used for the review is available online, you can access the ASAM criteria through the form below.  Follow these steps:

 

  • Enter the ASAM Guideline Code from your denial letter in the box below and submit;
  • Read and accept the terms and conditions;
  • View the criteria on the results page.

Access the ASAM criteria

 

Access to MCG criteria for members

 

If you received a denial letter based on Milliman Care Guidelines (MCG) 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

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