Skip to main content
Shop Plans Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get Started Individual & Family Medicare Employer Vision Dental International Travel Find Care FAQ Blog Members Stay on top of your health care with helpful member resources. Members Home Medicare Health Dental Vision Find Care Member Knowledge Center Member Forms Medicare Forms Library Make a Payment Federal Employees Student Blue Healthy Blue Providers Access tools, policies and the latest information to help you care for our members. Providers Home Network Participation Networks & Programs Claims, Appeals & Inquiries Prior Authorization Services & CPT codes Prescription Drug Search Policies, Guidelines & Codes Provider News Provider FAQ Contact Us Employers Learn about our coverage options for small and large employers, and access tools and resources for your group. Employers Home Shop Employer Plans Employer Portal Support Member Forms & Resources Find Care Blog Agents Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Agents Home Agent Services Check Eligibility Find Care Member Forms & Resources Medicare Forms Library
Contact Us
Log In
I am ... Please select A member A provider An employer An agent
Log in to Agent Services
Log in to Employer Services Register for Employer Services I'm registered but need portal access
Username Forgot username? Continue to Log In Register for Blue Connect Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
Back
MCG Implementation of Cite for Care Guideline Transparency April 26, 2022 Medical Policy & Clinical Guidelines

July 1, 2022, Update: This communication has been updated to change the effective date from May 18, 2022, to July 1, 2022.

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has partnered with Milliman Clinical Guidelines (MCG) Health to implement Cite for Care Guideline Transparency. Effective July 1, 2022, our medical policies will be located in the Blue E provider portal. A list of Blue Cross NC medical policies will still be shown on the public Blue Cross NC website, but upon clicking the link of a specific medical policy, providers will be redirected to Blue E and asked to log in.  

By utilizing MCG for Cite Guideline Transparency, Blue Cross NC can share clinical indications with providers. The tool operates as a secure extension of Blue Cross NC’s existing MCG investment and helps meet regulations related to transparency for care delivery. Additional benefits include: 

  • Delivering industry-leading medical determination transparency.  
  • Accessing MCG clinical evidence that payers use to support member care decisions.  
  • Ensuring easy and flexible access via secure web access. 

This effort is the first in a phased initiative to launch an advanced provider prior-authorization self-service platform coming later this year.  

MCG Cite for Care Guideline Transparency will not affect the process for notifying Blue Cross NC of admissions or for seeking Prior Authorization approval. 

Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.

Information in other languages: Español   中文   Tiếng Việt   한국어   Français   العَرَبِيَّة   Hmoob   ру́сский   Tagalog   ગુજરાતી   ភាសាខ្មែរ   Deutsch   हिन्दी   ລາວ   日本語

© 2025 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.