The Medical Review staff 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:

Ambulance Transportation

Back Up/Second Ventilators
Bone Density
Bone Growth Stimulators
Breast Reduction Surgery

Capsule Endoscopy
Cardiac Rehabilitations
Cognitive Rehabilitation
Continuous Glucose Monitoring
CT Colonography

Diapers/Incontinent Products
Durable Medical Equipment (DME)

Electric Breast Pumps
Emergent Urgent Care
Experimental Investigational
Extended Home Care-HHA
Extended Home Care-Skilled

Flouride Varnish

Gastric Bypass (Bariatric Surgery)
Genetic Testing

Hasbro Partial Program

Levels of Care

Male Gynecomastia

Non Standard Requests
Nutritional Supplements

Obstetrical Ultrasounds
Out-of-Plan Services
Out-of-Network & Out-of-Area
Outpatient PT-OT Special Needs
Outpatient Speech Special Needs
Outpatient Rehap Therapy
Oxygen Therapy - Pedi

Pain Management - Epidural Injections
Pain Management - Radio Frequency Facet Joint Denervation
Pain Management - Sacroiliac-Facet Joint
Pediatric Development and Autism Screening
Phototherapeutic Keratectomy
Plastic Surgery
Pulmonary Rehabilitation

Spinal Cord Stimulator
Synagis

Temporo-Mandibular Joint Dysfunction (TMJ)
Termination of Pregnancy
Thoracic Bioimpedance
Transplants 
Treatment of Acne

Varicose Vein Surgery
Video EEG Monitoring
Vision Care

Weight Management