{"id":4787,"date":"2019-07-18T16:47:21","date_gmt":"2019-07-18T16:47:21","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=4787"},"modified":"2019-07-18T16:47:21","modified_gmt":"2019-07-18T16:47:21","slug":"july-2019-clinical-review-criteria","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/july-2019-clinical-review-criteria\/","title":{"rendered":"July 2019 Clinical Review Criteria"},"content":{"rendered":"<p>Health New England\u2019s Clinicial Policies have been updated and can be found on the Provider Resources page at <a href=\"http:\/\/healthnewengland.org\/Providers\/Resources\" target=\"_blank\" rel=\"noopener\">healthnewengland.org\/Providers\/Resources<\/a>.<\/p>\n<p>On the Resources page, click on\u00a0<strong><em>\u201cBehavioral Health\/Medical Policies\u201d <\/em><\/strong>to learn of the changes.<\/p>\n<p><strong><em><u><br \/>\nMedical Policies \u2013 Changes \u2013 Effective 9\/1\/19<\/u><\/em><\/strong><\/p>\n<ul>\n<li>Total Hip Resurfacing<\/li>\n<li>Bone Grafts for Spinal Defects<\/li>\n<li>Sacroiliac Joint Fusion for the Treatment of Adult Low Back Pain<\/li>\n<li>Laser-Assisted Uvulopalatoplasty or Uvulopalatopharyngoplasty<\/li>\n<li>Proton Beam Therapy<\/li>\n<li>Speech Therapy<\/li>\n<\/ul>\n<p><strong><em>\u00a0<\/em><\/strong><\/p>\n<p><strong><em><u>Medical Policies \u2013 New \u2013 Effective 6\/12\/19<\/u><\/em><\/strong><\/p>\n<ul>\n<li>Knee Braces \u2013 effective 6\/12\/19<\/li>\n<li>Transplant and Ventricular Assist Devices (documented current process effective 6\/12\/19)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><em><u>Medical Policies \u2013 Archived<\/u><\/em><\/strong><\/p>\n<ul>\n<li>Speech Generating Devices<\/li>\n<li>Mandibular Advancement Device<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Health New England\u2019s 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\u00a0\u201cBehavioral Health\/Medical Policies\u201d to learn of the changes. Medical Policies \u2013 Changes \u2013 Effective 9\/1\/19 Total Hip Resurfacing Bone Grafts for Spinal Defects Sacroiliac Joint Fusion for the Treatment of Adult [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1740,"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":[92],"tags":[],"class_list":["post-4787","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2015\/08\/medical-billing-web.jpg?fit=700%2C431","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-1fd","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/4787","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=4787"}],"version-history":[{"count":1,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/4787\/revisions"}],"predecessor-version":[{"id":4789,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/4787\/revisions\/4789"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media\/1740"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=4787"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=4787"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=4787"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}