HSCSN/NET 

Utilization Review Criteria 

2006-2007 

HSCSN/NET is licensed to use McKesson Health Solutions LLC InterQual Criteria for the following medical necessity determinations:

• Acute Pedicatric

   

• Acute Adult

   

• Acute Child and Adolescent Behavioral

   

• Acute Adult Behavioral

   

• Chemical Dependency and Dual Diagnosis, Adolescent and Adult

   

• Home Care

   

• Durable Medical Equipment

   

Due to copyright restrictions, these criteria are not available on the web-site. However, case specific copies of the criteria, are available upon request. Providers may request copies of case specific McKesson InterQual Criteria and HSCSN/NET Therapeutic After School Criteria in writing to the office listed below: 

Health Services for Children with Special Needs, Inc. (HSCSN/NET) 

  Care Management Department 

  1731 Bunker Hill Road, NE 

  Washington, DC 20017 

  Telephone: 202/467-2737 

  Facsimile: 202/ 974-4688 

All criteria are reviewed and approved annually by the HSCSN Quality Council of providers.