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Care Guidelines Access Instructions
Denver Health Medical Plan uses MCG care guidelines to help review medical necessity for health service requests. MCG care guidelines are the protected intellectual property of MCG. Denver Health Medical Plan is not able to distribute them without the permission of MCG. MCG has provided a tool that allows Denver Health Medical Planmembers and prospective members to view relevant MCG care guidelines, however you will not be able to print them.
- Select Care Guidelines, read the disclaimer and accept the terms and conditions.
- Complete the User Information form.
- Complete the verification process to continue.
- Click on the arrow icon to expand the list of guidelines in the content group.
- Select the guideline you wish to view.
The care guidelines are developed in accordance with the principles of evidence-based medicine. Relevant randomized controlled trials, meta-analyses, and systematic reviews published in the peer reviewed literature have primacy, followed by observational studies and information obtained from textbooks and specialty society guidelines. When published studies or information is scant or nonexistent, MCG recognizes the value of frontline experience and incorporates data from unpublished sources, including large database analysis and expert opinion. MCG strives for practicality and completeness. However, when there is a lack of evidence for some steps in the care of a patient, the care guidelines may offer a strategy based on the best information available and identify the limits of evidentiary support underlying the recommendation. In general, the care guidelines offer comprehensive recommendations for all steps in a patient's care plan, recognizing the limits of the evidence base rather than discussing only the steps with "good evidence."