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Meridian Clinical Policy Readmission Review

Date: 08/11/21

Centene has conducted a review and made an update to the Meridian Health Plan Preventable Readmission Review. 

The Meridian Health Plan Preventable Readmission Review Program is a component of the Centers for Medicare & Medicaid Services (CMS) and State Medicaid guidelines. A readmission is defined as a subsequent inpatient readmission within 30 days after discharge, or as specified by state regulations or provider contracts, that is clinically related to the initial admission, is determined to be a Potential Preventable Readmission and is to the same hospital or within the same hospital system.

See the updated policy (PDF)