McKesson Health Solutions has made significant changes to the InterQual Level of Care Criteria for 2013.On July 22, 2013, AmeriHealth will begin using the 2013 InterQual Level of Care criteria for review of acute inpatient, acute rehabilitation, skilled nursing facility, and long-term acute care admissions. We will also move to the 2013 home care guidelines.With the release of the 2013 InterQual criteria, the Acute Adult and Acute Pediatric criteria continue to move towards condition-specific criteria. The condition-specific criteria are organized by episode day and comprise multiple levels of care. They integrate relevant complications, comorbidities, and guideline-standard treatments.The new Acute Adult condition-specific criteria include:[
]The new Acute Pediatric condition-specific criteria include:[
]The criteria for these conditions, previously found in the General Medical and Extended Stay subsets, have been removed. Providers should note that the new guidelines will require more detailed information on treatment plans, including medication administration, diagnostic testing results, laboratory values, and baseline clinical information.For more information on the condition-specific criteria in the 2013 Level of Care criteria, please visit []www.McKesson.com[]