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Updated InterQual® Criteria for 2019

July 15, 2019

Change Healthcare has made updates to the InterQual Criteria for 2019. Beginning August 17, 2019, the Clinical Services - Utilization Management department at AmeriHealth will use the 2019 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.


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