{"id":2293,"date":"2016-03-14T18:59:45","date_gmt":"2016-03-14T18:59:45","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=2293"},"modified":"2016-05-05T13:12:46","modified_gmt":"2016-05-05T13:12:46","slug":"policy-updates-effective-512016","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/policy-updates-effective-512016\/","title":{"rendered":"Policy Updates: Effective 5\/1\/2016"},"content":{"rendered":"<p>We have recently updated Health New England Policies and Clinical Review criteria as follows (effective 5\/1\/16):<\/p>\n<p><strong>Updated Health New England policies:<\/strong><br \/>\n\u2022 Neuropsychological Testing for Medicare<br \/>\n\u2022\u00a0<a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/CMS%20and%20MassHealth%20Criteria%20and%20Guidelines-Criteria-External.pdf\" target=\"_blank\">Centers for Medicare &amp; Medicaid (CMS) and MassHealth Criteria and Guidelines<\/a><\/p>\n<p><strong>Clinical review criteria related to:<\/strong><br \/>\n\u2022\u00a0<a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Wearable-Cardiac-Defibrillator-Criteria-External-v2.pdf\" target=\"_blank\">Wearable Cardiac Defibrillator<\/a><br \/>\n\u2022\u00a0<a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/BRCAforGeneticTesting-Criteria-External.pdf\" target=\"_blank\">BRCA Genetic Testing<\/a><br \/>\n\u2022\u00a0<a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Cologuard-DNA-Stool-Test-External-v2.pdf\" target=\"_blank\">Cologuard DNA Stool Test<\/a><br \/>\n\u2022\u00a0<a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Blepharoplasty-Criteria-External-v2.pdf\" target=\"_blank\">Blepharoplasty &amp; Browplasty<\/a><br \/>\n\u2022\u00a0<a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Infertility-Protocol-Criteria-External-v2.pdf\" target=\"_blank\">Infertility Treatment<\/a><br \/>\n\u2022\u00a0<a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Repetitive-Transcranial-Magnetic-Stimulation.pdf\">Repetitive Transcranial Magnetic Stimulation<\/a><\/p>\n<p>To obtain a paper copy of any payment policies referenced above, please contact Provider Relations at<br \/>\n(800) 842-4464, ext. 5000.<\/p>\n<table style=\"width: 281px; height: auto; background-color: #66aad1;\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td style=\"color: #000000; height: 16px; width: 245px; padding: 9px 15px 10px;\" align=\"center\" valign=\"top\">\n<div>\n<div style=\"font-family: Arial, Verdana, Helvetica, sans-serif; color: #ffffff; text-decoration: none;\"><strong><a style=\"color: #ffffff; text-decoration: none;\" href=\"http:\/\/healthnewengland.org\/Providers\/Resources\" target=\"_blank\" shape=\"rect\">View Medical Policy Updates &gt;<\/a><\/strong><\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>We have recently updated Health New England Policies and Clinical Review criteria as follows (effective 5\/1\/16): Updated Health New England policies: \u2022 Neuropsychological Testing for Medicare \u2022\u00a0Centers for Medicare &amp; Medicaid (CMS) and MassHealth Criteria and Guidelines Clinical review criteria related to: \u2022\u00a0Wearable Cardiac Defibrillator \u2022\u00a0BRCA Genetic Testing \u2022\u00a0Cologuard DNA Stool Test \u2022\u00a0Blepharoplasty &amp; Browplasty [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[4],"tags":[77,76,75],"class_list":["post-2293","post","type-post","status-publish","format-standard","hentry","category-informational-purposes-only","tag-may-2016","tag-payment-polices","tag-updates"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-AZ","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/2293","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=2293"}],"version-history":[{"count":16,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/2293\/revisions"}],"predecessor-version":[{"id":2455,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/2293\/revisions\/2455"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=2293"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=2293"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=2293"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}