Nivano Physicians Medical Group utilizes third party Care Guidelines to determine medical necessity for the plans that we manage. The Guidelines are the protected intellectual property of MCG. Nivano Physicians is not able to distribute them without the permission of MCG.
MCG has provided a tool that allows Nivano Physicians Medical Group members and prospective members to view relevant MCG guidelines, however you will not be able to print them.
For authorization requests and questions about a determination, see Utilization Management.
