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2019 Optum, Inc. All rights reserved. MCG Care Guideline GRG-050: Long-term Acute Care Hospital (LTACH) Level of Care Guideline (23rd Edition). For crisis and 23-hour programs, the Inpatient Behavioral Health Level of Care guidelines apply for medical necessity reviews. For hospital-level substance.GUIDELINES & POLICIES · Best Practice Guidelines · Quick Reference Guides · Level of Care Guidelines · Network Provider Audit Tools · Network Provider Manual. UnitedHealthcare uses evidence-based clinical guidelines from nationally recognized sources to guide our quality and health management programs. 2019 Standard Level of Care Guidelines · 2019 Harvard Pilgrim Specific Level of Care Guidelines · Level of Care Utilization System (LOCUS) for behavioral health