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  • Optum 2025 InterQual Updates
    Behavioral Health Services Applied Behavior Analysis (ABA) Program: · Based on the Council of Autism Service Providers (CASP), Version 3, 2024, Practice Guideline, we now include recommendations related to ABA assessment:
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    InterQual® Behavioral Health Services Criteria help improve quality and streamline reimbursement This standardized, automated criteria set supports documentation of the medical appropriateness of behavioral health interventions and helps providers secure prior authorization
  • InterQual® 2024 March Release Clinical Revisions
    Clinical Revisions—Includes the clinical revisions for the current InterQual Criteria year and two years prior Clinical Resources—Includes information such as the Knowledge Articles, the Known Issues List, and more Webinars—Includes the Increase Your IQ educational webinar recordings
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    The final standards and decision rules were approved by The ASAM Criteria Strategy Steering Committee and ASAM’s Quality Improvement Council All major changes from the 3rd Edition were approved by ASAM’s Board of Directors
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    InterQual Criteria provides a structured, evidence-based framework to help with behavioral healthcare Learn more about how this criteria can help your practice
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    The online help provides a step-by-step guide for you to refer to as you use the application to work with InterQual Criteria It also includes job aids and video tutorials
  • Evidence-Based Criteria Guidelines | InterQual®
    Our innovative clinical content, technologies, solutions, and services have helped reduce the administrative burden, enhance payer-provider relations, and improve care quality
  • IBX Updated InterQual Guidelines PDF
    This criteria line was updated to clarify the intent, capture newborns with drug withdrawal after opioid exposure, and ensure the symptoms being adequately managed by the Eat, Sleep, Console method of treatment
  • What is InterQual® Criteria for Behavioral Health? - LinkedIn
    InterQual® Criteria for Behavioral Health is a pivotal tool in this decision-making process, offering evidence-based guidelines to ensure patients receive appropriate and timely care
  • InterQual Behavioral Health Criteria - Business Wire
    Align stakeholders A consistent source of up-to-date evidence-based decision support criteria allows for greater transparency and alignment among stakeholders within and across organizations





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