metroplushealth policy updates
Track new and updated metroplushealth policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Guidelines for Utilization Management for Personalized Recovery Oriented Services (PROS) | Metroplushealth | Clinical | Psychiatry/Behavioral Health | Modified | Nov 21, 2022 |
| Guiding Principles for the Review and Approval of Clinical Review Criteria for Mental Health Services | Metroplushealth | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2020 |
| Penile Prosthesis Implantation Secondary to Erectile Dysfunction (ED) | Metroplushealth | Clinical | Urology | Modified | Oct 26, 2018 |
| Utilization management for OMH-authorized long-stay inpatient units (Second Chance at NYP and St. Joseph's Intermediate Care Unit) | Metroplushealth | Clinical | Psychiatry/Behavioral Health | Modified | Oct 1, 2015 |
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OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.