Medicaid Pediatric and Neonatal Critical and Intensive Care

Policy Update #: POLPEDNEO10052026
Effective Date: 10/05/2026
Current State: 
Future State: Sentara Health Plans is committed to providing clear, accessible guidance to support accurate billing and coding practices.
Applicable Plan(s): Medicaid
Applicable Policy: 3986
Business Owner: Cost of Care

Payment policy #3986 has been revised to include additional clarification.

As part of our ongoing effort to provide clear and transparent billing and coding guidance, payment policies that apply to multiple lines of business may be separated into distinct policies. As a result, providers may see updated policy numbers and/or naming conventions. Providers should refer to the Policy History section of each payment policy or the Payment Policy portal for additional information.

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Medicaid Pediatric and Neonatal Critical and Intensive Care Policy