{"id":8926,"date":"2026-06-29T18:52:27","date_gmt":"2026-06-29T18:52:27","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8926"},"modified":"2026-06-29T18:52:27","modified_gmt":"2026-06-29T18:52:27","slug":"medical-policy-updates-july-2026","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/medical-policy-updates-july-2026\/","title":{"rendered":"Medical Policy Updates (July 2026)"},"content":{"rendered":"

Please read the following update related to various Health New England programs and changes that may have an impact on your patients and\/or your practice. To find policies noted below, please visit healthnewengland.org\/Providers\/Resources<\/a>.<\/p>\n

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.<\/p>\n

 <\/p>\n\n\n\n\n\n\n\n\n\n\n
Medical Policy Revisions<\/strong><\/td>\nEffective Date<\/strong><\/td>\nNotes<\/strong><\/td>\n<\/tr>\n
Fertility Services for Group Insurance Commission (GIC) (UM1031POL)<\/td>\nJuly 2026<\/td>\n\n
    \n
  • GIC Members only<\/li>\n
  • Annual review with updated definitions.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Medical Necessity and Experimental and Investigational (UM407POL)<\/td>\nSeptember 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual review with minor updates to Policy Guidelines.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Proton Beam Therapy (UM408POL)<\/td>\nJuly 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual review with adding of references.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Reconstructive Repair of Pectus Deformity (UM712POL)<\/td>\nJuly 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual review with minor definition changes.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Transcatheter Tricuspid Valve Interventions (UM1003POL)<\/td>\nSeptember 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • InterQual Medicare criteria adopted for Medicare line of business.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
New Medical Policy<\/strong><\/td>\nEffective Date<\/strong><\/td>\nNotes<\/strong><\/td>\n<\/tr>\n
Intracameral Implants<\/p>\n

(UM1064POL)<\/td>\n

September 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • New Medical Policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

    Please read the following update related to various Health New England programs and changes that may have an impact on your patients and\/or your practice. To find policies noted below, please visit healthnewengland.org\/Providers\/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension […]<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"closed","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-8926","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-2jY","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8926","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\/11"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=8926"}],"version-history":[{"count":4,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8926\/revisions"}],"predecessor-version":[{"id":8930,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8926\/revisions\/8930"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8926"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8926"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8926"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}