Post-Acute Care Guidelines

Post‑acute care and home health services that meet the referenced McKesson InterQual®, Medicare Benefit Policy Manual, or other evidence‑based criteria are covered, while services that do not meet those criteria are not considered medically necessary/covered. Key requirements: prior authorization is required and submission of supporting clinical documentation demonstrating the service meets the applicable InterQual, Medicare, or other evidence‑based criteria.

"Post-Acute Care Prior Authorization Criteria: McKesson InterQual ® Criteria"

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