{"id":2569,"date":"2016-07-05T17:29:15","date_gmt":"2016-07-05T17:29:15","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=2569"},"modified":"2016-07-05T17:29:15","modified_gmt":"2016-07-05T17:29:15","slug":"medical-policy-updates-effective-912016","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/medical-policy-updates-effective-912016\/","title":{"rendered":"Medical Policy Updates &#8211; Effective 9\/1\/2016"},"content":{"rendered":"<p>We have recently updated several Health New England medical policies that will become effective on 9\/1\/16:<\/p>\n<ul>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/ClinicalTrialMedicareAdvantage-Criteria-External_9-1-16.pdf\" target=\"_blank\">Clinical Trial for Medicare Advantage Members<\/a><\/li>\n<li>Clinical Review Criteria related to:\n<ul>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/BHDayTreatment-External_9-1-16.pdf\" target=\"_blank\">Behavioral Health Day Treatment<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Repetitive-Transcranial-Magnetic-Stimulation-External_9-1-16.pdf\" target=\"_blank\">Behavioral Health Repetitive Transcranial Magnetic Stimulation<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/ContinuousGlucoseMonitoringSystem-External_9-1-16.pdf\" target=\"_blank\">Continuous Glucose Monitoring<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/GeneticTesting-External_9-1-16.pdf\" target=\"_blank\">Genetic Testing<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/ImplantableMiniatureOcularTelescope-Criteria-External_9-1-16.pdf\" target=\"_blank\">Implantable Miniature Ocular Telescope<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/LaserAssistedUvulopalatoplastyorUvulopalatopharyngoplasty-Criteria-External_9-1-16.pdf\" target=\"_blank\">Laser-Assisted Uvulopalatoplasty or Uvulopalatopharyngoplasty<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Mobi-CArtificialCervicalDisc-External_9-1-16.pdf\" target=\"_blank\">Mobi-C Artificial Cervical Disc<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Rhinoplasty-Criteria-External_9-1-16.pdf\" target=\"_blank\">Rhinoplasty<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/TotalHipResurfacing-Criteria-External_9-1-16.pdf\" target=\"_blank\">Total Hip Resurfacing<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>In addition, the following medical policies were revised, effective 6\/14\/16:<\/p>\n<ul>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Biofeedback-Criteria-External.pdf\" target=\"_blank\">Clinical Review Criteria Related to Biofeedback for Urinary Diagnoses<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/FecalMicrobiotaTransplant-External.pdf\" target=\"_blank\">Clinical Review Criteria Related to Fecal Microbiota Transplant<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/OrthognathicSurgery-Criteria-External_000.pdf\" target=\"_blank\">Clinical Review Criteria Related to Orthognathic Surgery<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>For more\u00a0information about Provider Resources and Policies, visit<br \/>\n<a href=\"http:\/\/healthnewengland.org\/Providers\/Resources\" target=\"_blank\">healthnewengland.org\/Providers\/Resources<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We have recently updated several Health New England medical policies that will become effective on 9\/1\/16: Clinical Trial for Medicare Advantage Members Clinical Review Criteria related to: Behavioral Health Day Treatment Behavioral Health Repetitive Transcranial Magnetic Stimulation Continuous Glucose Monitoring Genetic Testing Implantable Miniature Ocular Telescope Laser-Assisted Uvulopalatoplasty or Uvulopalatopharyngoplasty Mobi-C Artificial Cervical Disc Rhinoplasty [&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":[7],"tags":[],"class_list":["post-2569","post","type-post","status-publish","format-standard","hentry","category-notice-of-changes"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-Fr","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/2569","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=2569"}],"version-history":[{"count":8,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/2569\/revisions"}],"predecessor-version":[{"id":2577,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/2569\/revisions\/2577"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=2569"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=2569"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=2569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}