{"id":5331,"date":"2020-05-04T20:15:30","date_gmt":"2020-05-04T20:15:30","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=5331"},"modified":"2020-05-04T20:17:55","modified_gmt":"2020-05-04T20:17:55","slug":"clinical-review-criteria-may-2020","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/clinical-review-criteria-may-2020\/","title":{"rendered":"Clinical Review Criteria &#8211; May 2020"},"content":{"rendered":"<p>Health New England\u2019s Clinical Policies have been updated and can be found at healthnewengland.org\/Providers\/Resources. Once on the Resources page, click on Behavioral Health\/Medical Policies to learn of the changes.<\/p>\n<p>Effective 7\/1\/2020:<\/p>\n<p><strong>Infertility Treatment \u2013 Specific to limitations for embryo transfers<\/strong><br \/>\n\u2022 Members of any age will be required to follow ASRM (American Society for Reproductive Medicine) guidelines for embryo transfers.<br \/>\n\u2022 Health New England Criteria<br \/>\n&ensp;o For members 35 years of age<\/p>\n<p><strong>With favorable prognosis-1 blastocyst<\/strong><br \/>\nOthers-2<br \/>\n&ensp;o For members age 35-37<\/p>\n<p><strong>With favorable prognosis-2 blastocysts<\/strong><br \/>\nOthers-2<br \/>\n&ensp;o For members age 38-40<\/p>\n<p><strong>With favorable prognosis-2 blastocysts<\/strong><br \/>\nOthers-3<br \/>\n&ensp;o For members age 41 and older<\/p>\n<p>There is insufficient data to recommend a limit. Caution should be exercised to reduce the risk associated with multiple births. The number of embryos transferred will be at the discretion of the treating specialist.<\/p>\n<p>New Policy \u2013 Effective 7\/1\/2020<\/p>\n<p><strong>Endovenous Ablation Therapy of Varicose Veins<\/strong><\/p>\n<p><em>*Please note new\/revised policies may not appear until closer to the effective date.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Health New England\u2019s Clinical Policies have been updated and can be found at healthnewengland.org\/Providers\/Resources. Once on the Resources page, click on Behavioral Health\/Medical Policies to learn of the changes. Effective 7\/1\/2020: Infertility Treatment \u2013 Specific to limitations for embryo transfers \u2022 Members of any age will be required to follow ASRM (American Society for Reproductive [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3215,"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-5331","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\/2017\/04\/doctor-computer-e1493387481975.jpg?fit=800%2C493","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-1nZ","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/5331","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=5331"}],"version-history":[{"count":4,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/5331\/revisions"}],"predecessor-version":[{"id":5336,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/5331\/revisions\/5336"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media\/3215"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=5331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=5331"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=5331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}