Independence will issue medical policies 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 policies provide clinical criteria for rehabilitation and nursing services required for both medical necessity and level of care.

The new policies were posted as Notifications on September 1, 2020, and will go into effect November 1, 2020:

• Commercial: #02.03.00: Skilled Nursing Facility (SNF): Skilled and Subacute Levels of Care
• Medicare Advantage: #MA02.004: Skilled Nursing Facility (SNF): Skilled and Subacute Levels of Care

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