{"id":8617,"date":"2024-11-11T20:46:20","date_gmt":"2024-11-11T20:46:20","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=8617"},"modified":"2024-11-11T20:48:11","modified_gmt":"2024-11-11T20:48:11","slug":"medical-policy-update-nov-2024","status":"publish","type":"post","link":"https:\/\/hnetalk.com\/provider\/medical-policy-update-nov-2024\/","title":{"rendered":"Medical Policy Update (Nov. 2024)"},"content":{"rendered":"<p>Health New England reviews clinical policies and updates accordingly. These policies reside at <a href=\"https:\/\/healthnewengland.org\/Providers\/Resources\"><strong>healthnewengland.org\/Providers\/Resources<\/strong><\/a>. Once on the Resources page, click on <strong><em>Behavioral Health\/Medical Policies <\/em><\/strong>to learn more.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Cochlear Implant<\/strong><\/p>\n<ul>\n<li>Annual Review, effective 12\/1\/2024.<\/li>\n<li>All lines of business transitioned to InterQual with the exception of guidelines for MassHealth or Medicare.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Speech Therapy for Autism Disorders<\/strong><\/p>\n<ul>\n<li>Annual Review, effective 12\/1\/2024.<\/li>\n<li>Minor criteria changes.<\/li>\n<li>Definitions updated.<\/li>\n<li>Removed all references to Pervasive Developmental Disorder (PDD).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Speech Language Pathology (SLP) Services<\/strong><\/p>\n<ul>\n<li>Annual Review, effective 12\/1\/2024.<\/li>\n<li>No changes.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Musculoskeletal Surgery: Arthroplasty<\/strong><\/p>\n<ul>\n<li>Effective date changed to 1\/1\/2025 (informational).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Breast Surgery policy <\/strong><\/p>\n<ul>\n<li>Effective 11\/1\/2024.<\/li>\n<li>Z85.3 added to the list of applicable diagnosis codes for breast cancer.<\/li>\n<\/ul>\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. &nbsp; Cochlear Implant Annual Review, effective 12\/1\/2024. All lines of business transitioned to InterQual with the exception of guidelines for MassHealth or Medicare. &nbsp; Speech Therapy for Autism [&hellip;]<\/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":[1],"tags":[],"class_list":["post-8617","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-2eZ","_links":{"self":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8617","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\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=8617"}],"version-history":[{"count":4,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8617\/revisions"}],"predecessor-version":[{"id":8693,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8617\/revisions\/8693"}],"wp:attachment":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8617"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8617"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}