Skip to main content

SNF Level of Care

Important update to the clinical coverage guideline for Post-Acute Care

Summary of change:  WellCare has updated the Clinical Coverage Guideline (CCG) HS-311 for Post-Acute Care.

Updated CCG:

Post Acute CareMagbubukas ang PDF na dokumentong ito sa bagong window.

What does this mean for providers?

Effective June 9, 2018 our clinical teams will use the Clinical Coverage Guideline (CCG) HS-311 for Post-Acute Care to ensure services are authorized based on the appropriate services provided and intensity of care reflecting individual medical needs. This information will form the Level of Care determination. Claims will continue to adjudicate based on the authorized level. Reimbursement will align with the approved authorized Level of Care.

Why is this necessary?

•           To ensure that members receive the appropriate services and intensity of care based on individual medical needs

•           To manage and coordinate care throughout the duration of service

•           To ensure that SNF facilities receive appropriate payment for services based on authorized intensity of care


Icon ng Makipag-ugnayan sa Amin

Kailangan ng tulong? Narito kami para sa iyo.

Makipag-ugnayan sa Amin
Last Updated On: 5/30/2018
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

×