{"id":3318,"date":"2017-05-30T13:26:56","date_gmt":"2017-05-30T13:26:56","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=3318"},"modified":"2017-05-31T14:23:33","modified_gmt":"2017-05-31T14:23:33","slug":"clinical-criteria-updates-2","status":"publish","type":"post","link":"https:\/\/hnetalk.com\/provider\/clinical-criteria-updates-2\/","title":{"rendered":"Clinical Criteria Updates"},"content":{"rendered":"<p>Did you know you can access Health New England\u2019s Clinical Policies on our Provider Resources page at <a href=\"http:\/\/healthnewengland.org\/Providers\/Resources\" target=\"_blank\">healthnewengland.org\/Providers\/Resources<\/a>? Once on the Resources page, click on \u201cBehavioral Health\/Medical Policies.\u201d<\/p>\n<p>Most recently, the following policies have been released and\/or reviewed:<\/p>\n<p><strong>Behavioral Health \u2013 Effective 07\/01\/2017<\/strong><\/p>\n<ul>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/MedicareNeuropsychTestingCriteria.pdf\" target=\"_blank\">Neuropsychological Testing<\/a> \u2013 Updates to Prior Authorization Requirements for Medicare. Medical Guideline Disclaimer updated.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Medical \u2013 Effective 08\/01\/2017<br \/>\n<\/strong>Clinical review criteria related to the following medical policies has been updated:<\/p>\n<ul>\n<li><strong>\u00a0<\/strong><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Implantable-Miniature-Ocular-Telescope-Criteria-External.pdf\" target=\"_blank\">Implantable Miniature Ocular Telescope (IMT) Prosthesis<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Rhinoplasty-Criteria-External-17.pdf\" target=\"_blank\">Rhinoplasty<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Total-Hip-Resurfacing-Criteria-External.pdf\" target=\"_blank\">Total Hip Resurfacing<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Fecal-Microbiota-Transplant-External.pdf\" target=\"_blank\">Fecal Microbiota Transplant<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Orthognathic-Surgery-Criteria-External.pdf\" target=\"_blank\">Orthognathic Surgery<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/INFUSE-Bone-Graft-External.pdf\" target=\"_blank\">INFUSE Bone Graft<\/a><\/li>\n<li><a href=\"http:\/\/healthnewengland.org\/Portals\/_default\/Shared%20Documents\/providers\/Biofeedback-Urinary-Dianoses-Criteria-External.pdf\" target=\"_blank\">Biofeedback for Urinary Diagnosis<\/a><\/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 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.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Did you know you can access Health New England\u2019s Clinical Policies on our Provider Resources page at healthnewengland.org\/Providers\/Resources? Once on the Resources page, click on \u201cBehavioral Health\/Medical Policies.\u201d Most recently, the following policies have been released and\/or reviewed: Behavioral Health \u2013 Effective 07\/01\/2017 Neuropsychological Testing \u2013 Updates to Prior Authorization Requirements for Medicare. Medical Guideline [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2855,"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":[7],"tags":[],"class_list":["post-3318","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-notice-of-changes"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2016\/10\/doctor-laptop-e1476806730965.jpg?fit=700%2C467&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-Rw","_links":{"self":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/3318","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=3318"}],"version-history":[{"count":10,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/3318\/revisions"}],"predecessor-version":[{"id":3373,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/3318\/revisions\/3373"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media\/2855"}],"wp:attachment":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=3318"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=3318"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=3318"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}