{"id":7819,"date":"2022-10-28T20:17:30","date_gmt":"2022-10-28T20:17:30","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=7819"},"modified":"2022-10-28T20:17:56","modified_gmt":"2022-10-28T20:17:56","slug":"clinical-review-criteria-11-22","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/clinical-review-criteria-11-22\/","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><em><strong><span style=\"text-decoration: underline;\">Correction<\/span><\/strong><\/em><\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter size-full wp-image-7820\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/10\/Clinical-Review-Criteria-11-22.png?resize=1014%2C194\" alt=\"\" width=\"1014\" height=\"194\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/10\/Clinical-Review-Criteria-11-22.png?w=1483 1483w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/10\/Clinical-Review-Criteria-11-22.png?resize=300%2C57 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/10\/Clinical-Review-Criteria-11-22.png?resize=768%2C147 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/10\/Clinical-Review-Criteria-11-22.png?resize=1024%2C195 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/10\/Clinical-Review-Criteria-11-22.png?resize=500%2C95 500w\" sizes=\"(max-width: 1014px) 100vw, 1014px\" \/><\/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-7819","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-227","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7819","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=7819"}],"version-history":[{"count":1,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7819\/revisions"}],"predecessor-version":[{"id":7821,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7819\/revisions\/7821"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=7819"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=7819"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=7819"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}