AmeriHealth will issue a medical policy to communicate medical necessity criteria for the admission to and concurrent reviews for skilled and subacute levels of care in a Skilled Nursing Facility (SNF), effective November 1, 2020. The medical policy provides clinical criteria for rehabilitation and nursing services required for both medical necessity and level of care.

Medical Policy #02.03.00: Skilled Nursing Facility (SNF): Skilled and Subacute Levels of Care was posted as a Notification on September 1, 2020, and will go into effect November 1, 2020.

For more information about AmeriHealth policies, News Articles, and Notifications, please visit our Medical and Claim Payment Policy Portal.