Medical necessity criteria for skilled and subacute care in a Skilled Nursing Facility

October 1, 2020

AmeriHealth will issue a medical policy to communicate medical necessity criteria for the admission to and concurrent reviews for skilled and subacute levels of care in a Skilled Nursing Facility (SNF), effective November 1, 2020. The medical policy provides clinical criteria for rehabilitation and nursing services required for both medical necessity and level of care.

Medical Policy #02.03.00: Skilled Nursing Facility (SNF): Skilled and Subacute Levels of Care was posted as a Notification on September 1, 2020, and will go into effect November 1, 2020.

For more information about AmeriHealth policies, News Articles, and Notifications, please visit our Medical Policy Portal.