Posted on December 7, 2017
Health New England’s formularies can be accessed on healthnewengland.org using the “Find a Drug” tool at the top of the page. The online formularies are updated throughout the year as changes are made. We have three formularies, one for each line of business – Commercial, Medicare Advantage and Be Healthy/Medicaid. Each formulary includes the tier […]
Posted on December 7, 2017
HNEDirect Provider Portal Users: To better protect our stakeholders’ information, we are changing our HNEDirect password policy in accordance with industry guidelines and best practices. If you are a user of HNEDirect, your password will be expired during the month of December and you will be asked during the login process to reset your password […]
Posted on December 7, 2017
Attention Practice Managers: Accurate provider/pharmacy directories are critical to helping our members make educated decisions about their plan choices. Health New England offers an online directory for all of our products. In addition, hard copies of each directory are available upon request. In an effort to support both CMS and NCQA requirements, we reach out […]
Posted on November 28, 2017
At Health New England, we are committed to keeping our stakeholders’ personal information confidential and secure. We continually monitor, evaluate and improve our cyber security policies, practices and tools. To better protect everyone, we are changing our password policy in accordance with industry guidelines and best practices. The password policy update affects users of the […]
Posted on November 3, 2017
It is Health New England’s policy to conduct its business in compliance with all applicable federal and state laws and regulations and to assure that Health New England operates in a manner consistent with the letter and the spirit of the laws. Health New England expects its employees, management, governing body members and first tier, […]
Posted on October 31, 2017
Every year, Health New England sends Health New England Medicare Advantage plan members an Annual Notice of Changes (ANOC) that describes how their plans will be changing for the following year. We have mailed these out for 2018 and they are now available for viewing online at healthnewengland.org/medicare/Home/Members.
Posted on October 31, 2017
Below is a reminder about how to access key Health New England programs and policies: Care Management Program You can refer Health New England members with complex care needs to our Integrated Care Management (ICM) Program. Members will have the opportunity to interact directly with a Registered Nurse who will work with the member to […]
Posted on October 19, 2017
The new Prior Authorization/Out-of-Plan Addendum form must be used for members who have an HMO Health New England plan and are looking for services outside of their network. The submitting provider needs to submit the Massachusetts Standardized Prior Approval Request Form and the Out-of-Plan Addendum. This request must explain why services are needed outside of […]
Posted on August 22, 2017
To our valued Providers: In May, Health New England sent out 183 questionnaires to Primary Care Physicians (PCP) at 10 of our practices that have the highest population of our members receiving BH treatment. This questionnaire was designed to assess satisfaction of communication from the BH providers who are treating these members. Of the 183 […]
Posted on July 31, 2017
Referring providers and laboratories may submit prior authorization requests or verify authorization status by contacting eviCore as follows: Online by visiting eviCore’s website at: www.evicore.com and logging into the Provider login after completing a free registration. The site is available 24 hours a day, 7 days a week and it is possible to obtain immediate authorization […]