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HOW OUR COVERAGE GUIDELINES WERE DEVELOPED
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CHA Health has developed a Technology Assessment process to assist with determinations regarding medical practice and coverage policies for Plan members. Technologies include medical and surgical procedures, health care services, devices and pharmaceutical treatments. The Research and Documentation Specialist of the Medical Management department researches current published medical evidence and technology assessment reports from independent external entities and drafts a Coverage Guideline based on the findings. CHA Health subscribes to the Hayes Medical Technology Directory™, which includes nearly 500 evidence-based reports assessing new and emerging technologies. In addition to review by the Chief Health Services Officer and Plan Medical Director, CHA Health elicits comments from actively practicing like-specialty providers. The criteria are then submitted to the CHA Peer Review/Utilization Management (PR/UM) Committee which reviews and approves or adopts all criteria utilized by CHA Health. The PR/UM Committee is a standing committee of the Medical Quality Council and is comprised of the Chief Health Services Officer and at least four (4) actively practicing physicians who represent primary care and specialty areas of medical practice.
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Childhood Immunizations - 6 Months
At the age of 6 months, children should receive
Diphtheria, Tetanus, Pertussis, Haemophilus Influenzae
Type B, Inactive Polio and Pneumococcal immunizations.
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Health Claims for Herbal Products Over the Internet
Since the inception of the Dietary Supplement Health and Education Act (DSHEA) in 1984, the Food and Drug Administration (FDA) has only been able to play a limited role in the regulation of dietary and health supplements. Due to this lack of supervision, many dietary and health supplements are mislabeled with unsubstantiated health claims and inaccurate ingredient lists.
To learn more about this topic and many others, click here to log into your myCHAinfo account and choose Hayes OnHealth from the left menu bar.
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