Clinical Review Criteria
Posted on December 4, 2018
Health New England’s Clinicial Policies on the Provider Resources page at healthnewengland.org/Providers/Resources have been updated.
Most recently, the following policies have been released and/or reviewed:
- Optune Device (Tumor Treatment Fields-TTF) (UM659POL)
- Home Health Care Services (UM670POL)
- Bronchial Thermoplasty (UM661POL)
- Corneal Cross-Linking (UM671POL)
- Outpatient Physical and Occupational Therapy (UM376POL)
- Medicaid Utilization Management Decisions (MH-UM038POL)
- Artificial Intervertebral Cervical Disc (UM484POL)
- Sacral Nerve Stimulation and Electrical Percutaneous Tibial Nerve Stimulation (UM378POL)
- Treatment of Lipodystrophy Syndrome (LDS) (UM389POL)
- Endothelial Keratoplasty (UM430POL)
- Gastric Electrical Stimulation (GES) (Enterra Therapy System) – (UM388POL)
- Gender Reassignment Surgery (UM492POL)
- Radiofrequency Ablation for Spinal Pain (UM433POL)
- Infertility Treatment (UM185POL)
Archived:
- Home Use of Oxygen (UM371POL)







