As we announced in May, we updated our authorization tools to 2024 InterQual® criteria on July 15 for the following authorization types:
- Level of care (LOC): Inpatient Rehabilitation
- LOC: Subacute/Skilled nursing facility
- LOC: Home Care Q&A
- LOC: Long-Term Acute Care
- CP: Durable Medical Equipment
- CP: Procedures
- Medicare: Post Acute & Durable Medical Equipment
- Medicare: Procedures
- Behavioral health (BH): Adult and Geriatric Psychiatry
- BH: Child and Adolescent Psychiatry
- BH: Substance Use Disorders
- BH: Services
There was a slight delay in updating two authorization types – Acute Adult and Acute Pediatric – which will transition to 2024 InterQual criteria effective August 5.