On April 1, 2021, we reorganized some of the information on our Provider Central Clinical Resources page. We told you about these changes in our January 11, 2021 news article where we announced April 2021 Medical and Pharmacy Policy updates. We:
|New policy #||Policy name|
|158||Outpatient pediatric pain rehabilitation centers|
*Federal Employee Program guidelines for air ambulance will remain on the Coverage Criteria & Guidelines page in Provider Central.
|For||Use this InterQual subset|
|Crisis stabilization||Residential crisis program|
|Family stabilization||Intensive outpatient (IOP)*|
|Private duty nursing||Private duty nursing|
*If you are looking for Intensive Community Based Treatment (ICBT), please see the ICBT subset.
Please note that any information pertaining to the Federal Employee Program (FEP) is still available under Coverage Criteria & Guidelines.