ProviderMatters

Medical Policy Updates (July 2026)

Posted on June 29, 2026

Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. To find policies noted below, please visit healthnewengland.org/Providers/Resources.

If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.

 

Medical Policy Revisions Effective Date Notes
Fertility Services for Group Insurance Commission (GIC) (UM1031POL) July 2026
  • GIC Members only
  • Annual review with updated definitions.
Medical Necessity and Experimental and Investigational (UM407POL) September 2026
  • All Lines of Business
  • Annual review with minor updates to Policy Guidelines.
Proton Beam Therapy (UM408POL) July 2026
  • All Lines of Business
  • Annual review with adding of references.
Reconstructive Repair of Pectus Deformity (UM712POL) July 2026
  • All Lines of Business
  • Annual review with minor definition changes.
Transcatheter Tricuspid Valve Interventions (UM1003POL) September 2026
  • All Lines of Business
  • InterQual Medicare criteria adopted for Medicare line of business.
New Medical Policy Effective Date Notes
Intracameral Implants

(UM1064POL)

 September 2026
  • All Lines of Business
  • New Medical Policy
Print PDF

Categories: Provider Newsletter

No Comments

Comments are currently closed.