{"id":7739,"date":"2022-09-28T16:38:52","date_gmt":"2022-09-28T16:38:52","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=7739"},"modified":"2022-09-29T20:55:26","modified_gmt":"2022-09-29T20:55:26","slug":"clinical-review-criteria-10-22","status":"publish","type":"post","link":"https:\/\/hnetalk.com\/provider\/clinical-review-criteria-10-22\/","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 <strong>Behavioral Health\/Medical Policies<\/strong> to learn more.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7740\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=879%2C626\" alt=\"\" width=\"879\" height=\"626\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?w=1198&amp;ssl=1 1198w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=300%2C214&amp;ssl=1 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=768%2C547&amp;ssl=1 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=1024%2C729&amp;ssl=1 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-1.png?resize=421%2C300&amp;ssl=1 421w\" sizes=\"(max-width: 879px) 100vw, 879px\" \/><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7741\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=886%2C634\" alt=\"\" width=\"886\" height=\"634\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?w=1209&amp;ssl=1 1209w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=300%2C215&amp;ssl=1 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=768%2C549&amp;ssl=1 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=1024%2C733&amp;ssl=1 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-2.png?resize=419%2C300&amp;ssl=1 419w\" sizes=\"(max-width: 886px) 100vw, 886px\" \/><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter wp-image-7742\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=885%2C510\" alt=\"\" width=\"885\" height=\"510\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?w=1204&amp;ssl=1 1204w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=300%2C173&amp;ssl=1 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=768%2C443&amp;ssl=1 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=1024%2C590&amp;ssl=1 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2022\/09\/Clinical-Review-Criteria-3.png?resize=500%2C288&amp;ssl=1 500w\" sizes=\"(max-width: 885px) 100vw, 885px\" \/><\/p>\n<p>For additional questions, please call your Provider Relations Representative at (800) 842-4464, extension 5000, or 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>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-7739","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-20P","_links":{"self":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7739","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=7739"}],"version-history":[{"count":2,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7739\/revisions"}],"predecessor-version":[{"id":7759,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7739\/revisions\/7759"}],"wp:attachment":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=7739"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=7739"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=7739"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}