July 2019 Clinical Review Criteria
Posted on July 18, 2019
Health New England’s Clinicial Policies have been updated and can be found on the Provider Resources page at healthnewengland.org/Providers/Resources.
On the Resources page, click on “Behavioral Health/Medical Policies” to learn of the changes.
Medical Policies – Changes – Effective 9/1/19
- Total Hip Resurfacing
- Bone Grafts for Spinal Defects
- Sacroiliac Joint Fusion for the Treatment of Adult Low Back Pain
- Laser-Assisted Uvulopalatoplasty or Uvulopalatopharyngoplasty
- Proton Beam Therapy
- Speech Therapy
Medical Policies – New – Effective 6/12/19
- Knee Braces – effective 6/12/19
- Transplant and Ventricular Assist Devices (documented current process effective 6/12/19)
Medical Policies – Archived
- Speech Generating Devices
- Mandibular Advancement Device







