‚ÄčMedical necessity criteria for skilled and subacute care in a Skilled Nursing Facility‚Äč

October 1, 2020

Independence will issue medical policies 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 policies provide clinical criteria for rehabilitation and nursing services required for both medical necessity and level of care.

The new policies were posted as Notifications on September 1, 2020, and will go into effect November 1, 2020:

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