Clinical Criteria Updates
Posted on May 30, 2017
Did you know you can access Health New England’s Clinical Policies on our Provider Resources page at healthnewengland.org/Providers/Resources? Once on the Resources page, click on “Behavioral Health/Medical Policies.”
Most recently, the following policies have been released and/or reviewed:
Behavioral Health – Effective 07/01/2017
- Neuropsychological Testing – Updates to Prior Authorization Requirements for Medicare. Medical Guideline Disclaimer updated.
Medical – Effective 08/01/2017
Clinical review criteria related to the following medical policies has been updated:
- Implantable Miniature Ocular Telescope (IMT) Prosthesis
- Rhinoplasty
- Total Hip Resurfacing
- Fecal Microbiota Transplant
- Orthognathic Surgery
- INFUSE Bone Graft
- Biofeedback for Urinary Diagnosis
If you have any questions about the information in this notice, please contact Health New England Provider Relations 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.
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