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February 2015

InterQual® home health care criteria, format to change

McKesson InterQual home health criteria are changing for 2015 and will be released in a new question-and-answer format. Blue Cross Blue Shield of Michigan will begin using the new criteria — in the new format — in early August 2015.

The Q & A format was introduced a few years ago with InterQual’s care planning suite. The new format offers some significant advantages:

  • The simple question-and-answer flow makes the format easier and more intuitive to use
  • It allows for a single review that covers all the potential skilled disciplines instead of the currently required separate review of each service.

The new format also eliminates the physical copy of the Home Health Care InterQual book, making the home health care content only available electronically using InterQual View. This means that beginning with the March 2015 release, home care content won’t be included in the InterQual printed books or in the InterQual Mobile app.

InterQual View is an interface designed for customers who want direct access to InterQual criteria, without going to the internet, using a laptop or through an internal server.

Key features of InterQual View

  • Quick searches for quality indicator checklists, transition plans and notes
  • Ability to load InterQual historical criteria
  • Ability to set larger font sizes for easier viewing
  • Ability to print InterQual criteria or subsets from InterQual View

Accessing and using InterQual View
Before the new format is released, you can access the existing home care content through InterQual View at mhsinfo.mckesson.com/BCBSMIHomecare.** Organizations with multiple locations will need to sign up for each location.

After signing in, you’ll receive login information and a license key to download and unlock the content. You’ll also receive an invitation to a free webinar that will walk you through how to access and use the home care content through InterQual View. McKesson is working with Blue Cross to make the webinar available and will send your login information as soon as it’s available.

McKesson will be offering additional training on how to use the new Q & A format for home health care content once it becomes available in March. If you have any Blue Cross-specific questions, please contact your provider consultant.

**Blue Cross Blue Shield of Michigan does not control this website or endorse its general content.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.