CommercialAdministrativeMedium impact
PAP910 - Residential Treatment Center Program Guidelines - Updated policy verbiage throughout to reflect current InterQual standards for RTC programs. Added verbiage regarding staff licensing and supervision within RTC programs.
Blue Cross of Idaho·ID · Psychiatry·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their Residential Treatment Center (RTC) program guidelines to align with current InterQual standards and added specific requirements for staff licensing and supervision within RTC programs. The policy now includes detailed compliance requirements for clinical oversight, supervision, and documentation review for all professionals providing RTC services.
Action Required
Immediately: Billing team should review current RTC claims to ensure all staff providing services meet the new licensing and supervision requirements. Verify that clinical documentation includes required supervision sign-offs when mandated by licensing boards. Update internal RTC billing protocols to reflect the enhanced InterQual standards and ensure compliance with the new staff oversight requirements before submitting claims.