Policy UpdatesMedicaidMarch 28, 2025

InterQual March 2025 Updates

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

InterQual criteria used by this market:

  • Inpatient Rehabilitation Criteria
  • Subacute and Skilled Nursing Criteria

For questions, please contact Provider Services at 833‑731‑2149.

Coverage provided by Wellpoint New Jersey, Inc. or Wellpoint Insurance Company.

NJWP-CD-079485-25-CPN78927

PUBLICATIONS: April 2025 Provider Newsletter