{"id":7075,"date":"2021-11-30T15:44:09","date_gmt":"2021-11-30T15:44:09","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=7075"},"modified":"2021-11-30T21:44:42","modified_gmt":"2021-11-30T21:44:42","slug":"clinical-review-criteria-12-21","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/clinical-review-criteria-12-21\/","title":{"rendered":"Clinical Review Criteria"},"content":{"rendered":"<p><em>Please note, new\/revised policies may not appear until closer to the effective date.<\/em><\/p>\n<p>Health New England reviews clinical policies and updates accordingly. These policies reside at <a href=\"https:\/\/healthnewengland.org\/Providers\/Resources\" target=\"_blank\" rel=\"noopener\">healthnewengland.org\/Providers\/Resources<\/a>. Once on the Resources page, click on Behavioral Health\/Medical Policies to learn more.<\/p>\n<p><strong>Medical Updates:<\/strong><\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7082\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-1.png?resize=906%2C665\" alt=\"\" width=\"906\" height=\"665\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-1.png?w=946 946w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-1.png?resize=300%2C220 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-1.png?resize=768%2C563 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-1.png?resize=409%2C300 409w\" sizes=\"(max-width: 906px) 100vw, 906px\" \/><\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7083\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-2.png?resize=905%2C611\" alt=\"\" width=\"905\" height=\"611\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-2.png?w=902 902w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-2.png?resize=300%2C203 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-2.png?resize=768%2C519 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-2.png?resize=444%2C300 444w\" sizes=\"(max-width: 905px) 100vw, 905px\" \/><\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7084\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-3.png?resize=905%2C612\" alt=\"\" width=\"905\" height=\"612\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-3.png?w=1054 1054w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-3.png?resize=300%2C203 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-3.png?resize=768%2C520 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-3.png?resize=1024%2C693 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/Medical-Update-12.1-3.png?resize=443%2C300 443w\" sizes=\"(max-width: 905px) 100vw, 905px\" \/><\/p>\n<p><strong>Behavioral Health Updates:<\/strong><\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7081\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/BH-Update-12.1.png?resize=906%2C138\" alt=\"\" width=\"906\" height=\"138\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/BH-Update-12.1.png?w=1495 1495w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/BH-Update-12.1.png?resize=300%2C46 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/BH-Update-12.1.png?resize=768%2C117 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/BH-Update-12.1.png?resize=1024%2C156 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/11\/BH-Update-12.1.png?resize=500%2C76 500w\" sizes=\"(max-width: 906px) 100vw, 906px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Please note, new\/revised policies may not appear until closer to the effective date. Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org\/Providers\/Resources. Once on the Resources page, click on Behavioral Health\/Medical Policies to learn more. Medical Updates: Behavioral Health Updates:<\/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":[92],"tags":[],"class_list":["post-7075","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-1Q7","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7075","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=7075"}],"version-history":[{"count":4,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7075\/revisions"}],"predecessor-version":[{"id":7089,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7075\/revisions\/7089"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=7075"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=7075"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=7075"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}