2016 InterQual^® criteria and BCN Local Rules take effect August 1

As announced earlier, Blue Care Network's Care Management staff will begin using the 2016 McKesson Corporation InterQual criteria when making determinations on clinical review requests for members with coverage through BCN HMO^SM and BCN Advantage^SM products. This change is effective on Aug. 1, 2016.

On that date, updated versions of BCN's Local Rules will also go into effect.

Additional information about these criteria updates and BCN's Local Rules will be included in the July-August 2016 issue of BCN Provider News, which will be available in late June.

Posted: May 2016
Line of business: Blue Care Network