October 2019 Clinical Review Criteria

Posted on September 27, 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.

Reviewed with changes effective 12/1/2019

• Surgical Management of Morbid Obesity
• Abdominal Panniculectomy
• Contact Lenses
• Cochlear Implants and BAHA (Bone Anchored Hearing Aid)
• Percutaneous Left Atrial Appendage Closure
• Treatment of Lipodystrophy Syndrome
• Tumor Treatment Fields (previously Optune Device-Tumor Treatment Fields-TTF)
• Endothelial Keratoplasty

New policies effective 1/1/2020

• Intacs Corneal Implants (Intrastromal Corneal Ring Segments)
• Hydrogen Breath Testing
• Upper Airway Stimulation Device (UAS)/Hypoglossal Nerve Stimulation (HGNS) (Inspire)

Categories: Provider Newsletter