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InterQual® 2024 March and March 2025 content releases
Scheduled Maintenance
Report for Optum Solutions
Completed
The scheduled maintenance has been completed.
In progress
Scheduled maintenance is currently in progress. We will provide updates as necessary.
Scheduled
We are pleased to announce that the InterQual 2024 March content release is now available for all InterQual® Cloud Solutions customers:
This content release includes updates to the following modules:
• Medicare Behavioral Health Navigator
• Medicare Imaging Navigator
• Medicare Molecular Diagnostics and Lab Navigator
• Medicare Pharmacy Navigator
• Medicare Post-Acute and Durable Medical Equipment Navigator
• Medicare Procedures Navigator
For clinical revisions and additional details about this release, go to the What’s New page on the InterQual® Resource Center and then select InterQual Content.
Coming soon InterQual Community!
The new InterQual Community is coming soon! As a Community member you will:
• Have access to InterQual clinical documentation and resources. The InterQual Resource Center is being retired.
• Have access to active discussion forums with Optum product experts and fellow customers.
• Find and connect with your peers by product and role.
Watch for more information and an invitation to join the Community coming soon!
2025 March content release
We are pleased to announce the updates to the following modules that will be available in the InterQual 2025 March release Friday, March 21, 2025.
• InterQual® Acute Adult Criteria
• InterQual® Acute Pediatric Criteria
• InterQual® Long-Term Acute Care Criteria
• InterQual® Inpatient Rehabilitation Criteria
• InterQual® Subacute and Skilled Nursing Criteria
• InterQual® Home Care Criteria
• InterQual® Outpatient Rehabilitation and Chiropractic Criteria
• InterQual® Adult and Geriatric Psychiatry Criteria
• InterQual® Child and Adolescent Psychiatry Criteria
• InterQual® Substance Use Disorders Criteria
• InterQual® Behavioral Health Services Criteria
• InterQual® Durable Medical Equipment Criteria
• InterQual® Imaging Criteria
• InterQual® Molecular Diagnostics Criteria
• InterQual® Procedures Criteria
• InterQual® Specialty Rx Non Oncology Criteria
• InterQual® Specialty Rx Oncology Criteria
• InterQual® Specialty Referral Criteria
• InterQual® Retrospective Monitoring Criteria
• The ASAM Criteria® Navigator
• Concert Genetics Navigator
• Medicare Behavioral Health Navigator
• Medicare Imaging Navigator
• Medicare Molecular Diagnostics and Lab Navigator
• Medicare Pharmacy Navigator
• Medicare Post-Acute and Durable Medical Equipment Navigator
• Medicare Procedures Navigator
• InterQual® Coordinated Care Content
Clinical revisions
Clinical revisions are available on the InterQual® Resource Center, which is accessible within the product and the InterQual® Learning Source.
New enhancements
Site of Service - To allow for a more data-driven and patient-specific approach to determining the appropriate setting of a service, InterQual Acute Adult Criteria, InterQual Acute Pediatric Criteria, InterQual Behavioral Health Services Criteria, and InterQual Procedures Criteria will be updated to include a benchmark setting provided at the CPT® code level. The setting, based on the selection of a CPT code, will appear in the InterQual Review Summary to support clear communication of both the medical review and setting outcomes, and to allow for improved organizational workflow. To support this enhancement, the following resources are included on the InterQual Resource Center, What’s New, InterQual Content:
• InterQual® 2025 Site of Service Early Look video
• InterQual® 2025 Setting by CPT code pre-release summary
InterQual Cloud Solutions updates
If your organization has configured your environment to disable new criteria releases by default, you will need to log in to the Administration module and enable the criteria when you are ready to start using it.
Contact information
For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support. Product Support is also available by email at interqualsupport@optum.com and by phone at 1-800-CRITERIA (274-8374).
REF 16764959
This content release includes updates to the following modules:
• Medicare Behavioral Health Navigator
• Medicare Imaging Navigator
• Medicare Molecular Diagnostics and Lab Navigator
• Medicare Pharmacy Navigator
• Medicare Post-Acute and Durable Medical Equipment Navigator
• Medicare Procedures Navigator
For clinical revisions and additional details about this release, go to the What’s New page on the InterQual® Resource Center and then select InterQual Content.
Coming soon InterQual Community!
The new InterQual Community is coming soon! As a Community member you will:
• Have access to InterQual clinical documentation and resources. The InterQual Resource Center is being retired.
• Have access to active discussion forums with Optum product experts and fellow customers.
• Find and connect with your peers by product and role.
Watch for more information and an invitation to join the Community coming soon!
2025 March content release
We are pleased to announce the updates to the following modules that will be available in the InterQual 2025 March release Friday, March 21, 2025.
• InterQual® Acute Adult Criteria
• InterQual® Acute Pediatric Criteria
• InterQual® Long-Term Acute Care Criteria
• InterQual® Inpatient Rehabilitation Criteria
• InterQual® Subacute and Skilled Nursing Criteria
• InterQual® Home Care Criteria
• InterQual® Outpatient Rehabilitation and Chiropractic Criteria
• InterQual® Adult and Geriatric Psychiatry Criteria
• InterQual® Child and Adolescent Psychiatry Criteria
• InterQual® Substance Use Disorders Criteria
• InterQual® Behavioral Health Services Criteria
• InterQual® Durable Medical Equipment Criteria
• InterQual® Imaging Criteria
• InterQual® Molecular Diagnostics Criteria
• InterQual® Procedures Criteria
• InterQual® Specialty Rx Non Oncology Criteria
• InterQual® Specialty Rx Oncology Criteria
• InterQual® Specialty Referral Criteria
• InterQual® Retrospective Monitoring Criteria
• The ASAM Criteria® Navigator
• Concert Genetics Navigator
• Medicare Behavioral Health Navigator
• Medicare Imaging Navigator
• Medicare Molecular Diagnostics and Lab Navigator
• Medicare Pharmacy Navigator
• Medicare Post-Acute and Durable Medical Equipment Navigator
• Medicare Procedures Navigator
• InterQual® Coordinated Care Content
Clinical revisions
Clinical revisions are available on the InterQual® Resource Center, which is accessible within the product and the InterQual® Learning Source.
New enhancements
Site of Service - To allow for a more data-driven and patient-specific approach to determining the appropriate setting of a service, InterQual Acute Adult Criteria, InterQual Acute Pediatric Criteria, InterQual Behavioral Health Services Criteria, and InterQual Procedures Criteria will be updated to include a benchmark setting provided at the CPT® code level. The setting, based on the selection of a CPT code, will appear in the InterQual Review Summary to support clear communication of both the medical review and setting outcomes, and to allow for improved organizational workflow. To support this enhancement, the following resources are included on the InterQual Resource Center, What’s New, InterQual Content:
• InterQual® 2025 Site of Service Early Look video
• InterQual® 2025 Setting by CPT code pre-release summary
InterQual Cloud Solutions updates
If your organization has configured your environment to disable new criteria releases by default, you will need to log in to the Administration module and enable the criteria when you are ready to start using it.
Contact information
For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support. Product Support is also available by email at interqualsupport@optum.com and by phone at 1-800-CRITERIA (274-8374).
REF 16764959
This scheduled maintenance affected: Clinical Decision Support (InterQual® Criteria).