{"id":8157,"date":"2023-03-29T17:57:53","date_gmt":"2023-03-29T17:57:53","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=8157"},"modified":"2023-03-29T17:57:53","modified_gmt":"2023-03-29T17:57:53","slug":"clinical-review-criteria-4-23","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/clinical-review-criteria-4-23\/","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-8158\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2023\/03\/clinical-review-criteria-image.png?resize=1014%2C330\" alt=\"\" width=\"1014\" height=\"330\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2023\/03\/clinical-review-criteria-image.png?w=1357 1357w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2023\/03\/clinical-review-criteria-image.png?resize=300%2C98 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2023\/03\/clinical-review-criteria-image.png?resize=768%2C250 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2023\/03\/clinical-review-criteria-image.png?resize=1024%2C334 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2023\/03\/clinical-review-criteria-image.png?resize=500%2C163 500w\" sizes=\"(max-width: 1014px) 100vw, 1014px\" \/><\/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>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-8157","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-27z","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8157","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=8157"}],"version-history":[{"count":1,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8157\/revisions"}],"predecessor-version":[{"id":8159,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8157\/revisions\/8159"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8157"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}