{"id":8508,"date":"2024-04-01T13:16:37","date_gmt":"2024-04-01T13:16:37","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=8508"},"modified":"2024-04-01T13:16:37","modified_gmt":"2024-04-01T13:16:37","slug":"clinical-review-criteria-5","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/clinical-review-criteria-5\/","title":{"rendered":"Clinical Review Criteria"},"content":{"rendered":"<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 <em><strong>Behavioral Health\/Medical Policies<\/strong><\/em> to learn more.<\/p>\n<p><em><strong>The following policies were reviewed:<\/strong><\/em><\/p>\n<ul>\n<li><strong>Community-Based Acute Treatment\/Youth Clinical Crisis Stabilization (CBAT\/YCCS) Program and Intensive Community-Based Acute Treatment (ICBAT) Program (Behavioral Health)<\/strong>\n<ul>\n<li>Youth Clinical Crisis Stabilization services (YCCS) defined<\/li>\n<li>No change to criteria<\/li>\n<\/ul>\n<\/li>\n<li style=\"text-align: left;\"><strong>Community Crisis Stabilization (CCS) (Behavioral Health)<\/strong>\n<ul>\n<li style=\"text-align: left;\">No change to criteria<\/li>\n<li style=\"text-align: left;\">References updated<\/li>\n<\/ul>\n<\/li>\n<li style=\"text-align: left;\"><strong>Autologous Chondrocyte Implantation or Transplantation<\/strong>\n<ul>\n<li style=\"text-align: left;\">No change to criteria<\/li>\n<li style=\"text-align: left;\">References updated<\/li>\n<\/ul>\n<\/li>\n<li style=\"text-align: left;\"><strong>Gender Affirming Services<\/strong>\n<ul>\n<li style=\"text-align: left;\">No change to criteria<\/li>\n<\/ul>\n<\/li>\n<li style=\"text-align: left;\"><strong>Ambulatory Electrocardiograph Monitoring<\/strong>\n<ul>\n<li style=\"text-align: left;\">Previously called Ambulatory Cardiac Monitoring<\/li>\n<li style=\"text-align: left;\">Minor changes to the Implantable Ambulatory Electrocardiographic (AECG) monitoring section<\/li>\n<li style=\"text-align: left;\">Added CPT 0605T (previously E&amp;I)<\/li>\n<\/ul>\n<\/li>\n<li style=\"text-align: left;\"><strong>Balloon Dilation of the Eustachian Tube<\/strong>\n<ul>\n<li style=\"text-align: left;\">No changes to criteria<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m. You may also 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>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. The following policies were reviewed: Community-Based Acute Treatment\/Youth Clinical Crisis Stabilization (CBAT\/YCCS) Program and Intensive Community-Based Acute Treatment (ICBAT) Program (Behavioral Health) Youth Clinical Crisis Stabilization services (YCCS) [&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":[],"class_list":["post-8508","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-2de","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8508","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=8508"}],"version-history":[{"count":2,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8508\/revisions"}],"predecessor-version":[{"id":8516,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8508\/revisions\/8516"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8508"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8508"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8508"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}