015 InterQual® criteria to be used effective August 3
On Aug. 3, 2015, Blue Care Network's Care Management staff will begin using the 2015 McKesson Corporation InterQual criteria when making determinations on clinical review requests for members with coverage through BCN HMOSM and BCN AdvantageSM products. Updated versions of BCN's Local Rules will also go into effect on August 3.
Additional information about these criteria updates and BCN's Local Rules will be included in the July-August 2015 issue of the BCN Provider News, which will be available in late June.