The Medical Review staffcmp of the Medical Management Department utilize clinical medical policies (CMPs) to guide decisions regarding Neighborhood’s Conditional Benefits.
Through collaboration with Neighborhood’s Associate Medical Director, and our specialty consultants, the policies are developed and/or revised following thorough review of current medical literature and standards of practice. To the extent possible, Neighborhood’s CMPs are developed according to evidence-based outcomes.
To view one of Neighborhood’s approved CMPs, please click the link below:
- Acupuncture
- Adult Day Health
- Ambulance Transportation
- Assisted Living
- Bone Growth Stimulators
- Chiropractic Care
- Circulating Cell-free (ccfDNA)
- Cognitive Rehabilitation
- Continuous Glucose Monitoring
- Durable Medical Equipment (DME)
- Experimental Investigational
- Fluoride Varnish
- Gender Dysphoria Treatment
- Genetic Testing
- Hart Walker
- Hasbro Partial Program
- Infertility Services
- Levels of Care
- Long Term Care Home Health Care HHA Hours
- Non Standard Requests
- Nutritional Supplements
- Obstetrical Ultrasounds
- Out-of-Network & Out-of-Area
- Outpatient PT-OT Special Needs
- Outpatient Speech Special Needs
- Outpatient Rehab Therapies-Adult
- Pediatric Development and Autism Screening
- Phototherapy and Photochemotherapy for Dermatologic Conditions
- Private Duty-Extended Home Care-Skilled Hours
- Specific IgE Testing
- Termination of Pregnancy
- Urine Toxicology Screening
- Vision Care
- Weight Management
Pharmacy CMPs
- Benlysta
- Botox
- Cinqair
- Epogen and Procrit
- Fasenra
- Hyaluronic Acid Intraarticular Injections
- Immune Globulin
- Lemtrada
- Lucentis
- Nucala
- Ocrevus
- Oncology Medication Policy
- Prolia
- Stelara
- Sublocade
- Synagis
- Testopel
- TNF-Alpha Inhibitors
- Tysabri
- Xiaflex
- Xolair