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NICU Levels of Care Criteria

Provider Type

  • Physicians
  • Hospitals
  • Participating Physician Groups (PPG)
  • Ancillary

Health Net's neonatal intensive care unit (NICU) levels of care criteria (PDF) is used by contracting vendors and concurrent review staff when assessing, documenting and authorizing NICU care.

Last Updated: 07/01/2024