Policy UpdatesMedicaidMarch 28, 2025

InterQual March 2025 updates

Effective July 1, 2025, Anthem will transition to the InterQual® 2025 criteria, to include updates from March 2025

InterQual criteria used by this market:

  • Long‑Term Acute Care Criteria
  • Inpatient Rehabilitation Criteria
  • Subacute and Skilled Nursing Criteria

For questions, please contact Provider Services at 844‑396‑2330.

Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NVBCBS-CD-079489-25-CPN78927

PUBLICATIONS: April 2025 Provider Newsletter