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:

  • Behavioral Health Services Criteria
  • Adult and Geriatric Psychiatry Criteria
  • Child and Adolescent Psychiatry Criteria

For questions, please contact Provider Services at 800-450-8753.

Medicaid services provided by Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NYBCBS-CD-079490-25-CPN78927

PUBLICATIONS: April 2025 Provider Newsletter