{"id":7868,"date":"2022-11-29T15:59:56","date_gmt":"2022-11-29T15:59:56","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=7868"},"modified":"2022-11-29T15:59:56","modified_gmt":"2022-11-29T15:59:56","slug":"clinical-review-criteria-12-22","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/clinical-review-criteria-12-22\/","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 <em><strong>Behavioral Health\/Medical Policies<\/strong><\/em> to learn more.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter size-full wp-image-7872\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-1.png?resize=1014%2C717\" alt=\"\" width=\"1014\" height=\"717\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-1.png?w=1188 1188w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-1.png?resize=300%2C212 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-1.png?resize=768%2C543 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-1.png?resize=1024%2C724 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-1.png?resize=424%2C300 424w\" sizes=\"(max-width: 1014px) 100vw, 1014px\" \/> <img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter size-full wp-image-7871\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-2.png?resize=1014%2C729\" alt=\"\" width=\"1014\" height=\"729\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-2.png?w=1182 1182w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-2.png?resize=300%2C216 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-2.png?resize=768%2C552 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-2.png?resize=1024%2C736 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-2.png?resize=417%2C300 417w\" sizes=\"(max-width: 1014px) 100vw, 1014px\" \/> <img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter size-full wp-image-7870\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-3.png?resize=1014%2C726\" alt=\"\" width=\"1014\" height=\"726\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-3.png?w=1195 1195w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-3.png?resize=300%2C215 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-3.png?resize=768%2C550 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-3.png?resize=1024%2C734 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-3.png?resize=419%2C300 419w\" sizes=\"(max-width: 1014px) 100vw, 1014px\" \/> <img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter size-full wp-image-7869\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-4.png?resize=1014%2C698\" alt=\"\" width=\"1014\" height=\"698\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-4.png?w=1192 1192w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-4.png?resize=300%2C206 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-4.png?resize=768%2C528 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-4.png?resize=1024%2C704 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/11\/CRC-4.png?resize=436%2C300 436w\" 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-7868","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-22U","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7868","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=7868"}],"version-history":[{"count":2,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7868\/revisions"}],"predecessor-version":[{"id":7876,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7868\/revisions\/7876"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=7868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=7868"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=7868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}