Clinical Criteria Updates
Posted on June 29, 2017
Did you know you can access Health New England’s Clinical Policies on our Provider Resources page at healthnewengland.org/Providers/Resources? On the Resources page, click on “Behavioral Health/Medical Policies.”
Most recently, the following policies have been released and/or reviewed:
Behavioral Health – Effective 09/01/2017
- Applied Behavioral Analysis for Autism Spectrum Disorders
- Clinical Review Criteria related to Transcranial Magnetic Stimulation (TMS)
- Admission and Concurrent Review Criteria for Inpatient Rehabilitation for Substance Abuse Disorder
- Behavioral Health Day Treatment
Medical – Effective 09/01/2017
Clinical review criteria related to the following medical policies have been updated:
- Total Ankle Replacement
- Speech Generating Devices
- Proton Beam Therapy
- Speech Therapy
- Sacroiliac Joint Fusion for the Treatment of Adult Low-Back Pain
- Clinical Trials
- Mandibular Advancement Device (MAD) in the Treatment of Obstructive Sleep Apnea (OSA)
- Genetic Testing
- Laser-Assisted Uvulopalatoplasty or Uvulopalatopharyngoplasty
Clinical Review Criteria Related to Continuous Glucose Monitoring System (CGMS) – Archived
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