Updated InterQual® Criteria for 2020

July 30, 2020

Change Healthcare has made updates to the InterQual Criteria for 2020. Beginning August 31, 2020, the Utilization Management department at AmeriHealth will use the 2020 InterQual Criteria for review of acute inpatient, acute rehabilitation, skilled nursing facility, long-term acute care admission, home care, and selected procedures.

View a summary of the changes online for AmeriHealth New Jersey and AmeriHealth Pennsylvania.

To learn more about the InterQual Criteria, please visit the Change HealthCare website.