Humana Healthy Horizons uses MCG Guidelines to help review medical necessity for health service requests. MCG Guidelines are the protected intellectual property of MCG. Humana Healthy Horizons is not able to distribute them without the permission of MCG. MCG has provided a tool that allows GH members and prospective members to view relevant MCG guidelines, however you will not be able to print them.
Follow the instructions below for access to MCG Guidelines.
Access instructions
Step 1: Click here to access the MCG Guidelines
Step 2: Complete the user information form.
Step 3: Complete the verification process to continue.
Step 4: Click on the arrow icon.
Step 5: Click on the guidelines you wish to view.