{"id":7739,"date":"2022-09-28T16:38:52","date_gmt":"2022-09-28T16:38:52","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=7739"},"modified":"2022-09-29T20:55:26","modified_gmt":"2022-09-29T20:55:26","slug":"clinical-review-criteria-10-22","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/clinical-review-criteria-10-22\/","title":{"rendered":"Clinical Review Criteria"},"content":{"rendered":"<p>On a regular basis, Health New England reviews our clinical criteria for our Behavioral Health and Medical policies, as well as the criteria for the drugs included in our formulary. This notification outlines changes to those policies recently reviewed.<\/p>\n<p>Health New England reviews clinical policies and updates accordingly. These policies reside at <a href=\"http:\/\/healthnewengland.org\/Providers\/Resources\" target=\"_blank\" rel=\"noopener\">healthnewengland.org\/Providers\/Resources<\/a>. Once on the Resources page, click on <strong>Behavioral Health\/Medical Policies<\/strong> to learn more.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7740\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=879%2C626\" alt=\"\" width=\"879\" height=\"626\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?w=1198 1198w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=300%2C214 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=768%2C547 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=1024%2C729 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=421%2C300 421w\" sizes=\"(max-width: 879px) 100vw, 879px\" \/><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7741\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=886%2C634\" alt=\"\" width=\"886\" height=\"634\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?w=1209 1209w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=300%2C215 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=768%2C549 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=1024%2C733 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=419%2C300 419w\" sizes=\"(max-width: 886px) 100vw, 886px\" \/><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7742\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=885%2C510\" alt=\"\" width=\"885\" height=\"510\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?w=1204 1204w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=300%2C173 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=768%2C443 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=1024%2C590 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=500%2C288 500w\" sizes=\"(max-width: 885px) 100vw, 885px\" \/><\/p>\n<p>For additional questions, please call your Provider Relations Representative at (800) 842-4464, extension 5000, or send an email to <a href=\"mailto:providerrelations@hne.com\" target=\"_blank\" rel=\"noopener\">providerrelations@hne.com<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>On a regular basis, Health New England reviews our clinical criteria for our Behavioral Health and Medical policies, as well as the criteria for the drugs included in our formulary. This notification outlines changes to those policies recently reviewed. Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org\/Providers\/Resources. Once on [&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":[92],"tags":[110],"class_list":["post-7739","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter","tag-clinical-review-criteria"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-20P","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7739","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=7739"}],"version-history":[{"count":2,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7739\/revisions"}],"predecessor-version":[{"id":7759,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7739\/revisions\/7759"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=7739"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=7739"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=7739"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}