You still need to run separate neutral and EGC conductors beyond any main bonding jumper. The EGC has lots of parallel paths, but we intentionally make it non current carrying except for temporarily during fault conditions.
MV wiring still must follow same rules. POCO's MV wiring uses MGN and has parallel paths, but it isn't designed per NEC requirements.
I don't do MV, but I'd guess a lot of it outside POCO distribution doesn't supply line to neutral loads and would be a reason to not see separate neutral and ground conductor with feeders/branch circuits, all there needs to be is the ungrounded conductors and an EGC.