Posted on June 23, 2016
A tip sheet for the culturally sensitive practitioner Culture can be defined as the pattern of behavior, beliefs, values, communication, and customs as affected by racial, ethnic, geographical, socioeconomic, biological, and/or spiritual factors. Culture is sometimes seen as only relevant when grouped by various ethnic/racial identities, but each individual’s culture will affect his/her treatment in more […]
Posted on May 31, 2016
Please read the following to learn more about the important updates, which may have an impact on your practice: Adolescent Well-Care Visit Incentive Program Medical and Behavioral Health Clinical Policy Updates Provider Directory Data Validation Do you service Medicaid adolescents for Well-Care Visits? Health New England is launching an incentive program for our Medicaid adolescent […]
Posted on March 14, 2016
We have recently updated Health New England Policies and Clinical Review criteria as follows (effective 5/1/16): Updated Health New England policies: • Neuropsychological Testing for Medicare • Centers for Medicare & Medicaid (CMS) and MassHealth Criteria and Guidelines Clinical review criteria related to: • Wearable Cardiac Defibrillator • BRCA Genetic Testing • Cologuard DNA Stool Test • Blepharoplasty & Browplasty […]
Posted on February 12, 2016
Please read this letter carefully for updates on our audit program policy, appointment and after-hours standards and our provider/pharmacy directory requirements. Audit Program Policy Effective May 1, 2016 Health New England will issue a replacement version of our Audit Program Policy. The objective of this policy is to ensure Health New England fulfills our responsibility […]
Posted on February 9, 2016
SPRINGFIELD, Mass., February 10, 2015 – Health New England recently launched an all-new corporate brand, marked by a blue and gray logo and tagline, “Where you matter.” To coincide with the new brand launch, the company also released its new public website, healthnewengland.org. Health New England continues to offer health plans across three lines of […]
Posted on January 28, 2016
The Substance Abuse and Mental Health Services Administration (SAMHSA) recently has updated their Opioid Overdose Prevention Toolkit and is now offering free copies to health care providers, communities and local governments. The toolkit materials are aimed to help develop practices and policies to prevent opioid-related overdoses and deaths. The materials also address issues for health care […]
Posted on January 19, 2016
We are changing our appearance, and renewing our commitment to quality and outstanding service. Together, we have been meeting the health care needs of our communities for more than 30 years, and will continue to do so by providing quality health plans, including our Be Healthy™ MassHealth plans and our Medicare Advantage plans. And now, we’re renewing […]
Posted on January 4, 2016
There still is time to give us your feedback! Please fill out our Behavioral Health Provider Questionnaire so we can ensure that you receive appropriate referrals and that your information is published correctly in Health New England’s materials, we need your help to verify your information as follows: • General office information • Whether you are accepting new […]
Posted on January 4, 2016
This is a reminder from our November 2015 mailing that, beginning 01/01/2016, Nuclear Cardiology Studies performed in an outpatient hospital setting will now require prior authorization. Prior authorization must be obtained from eviCore (formerly MedSolutions) prior to services being rendered. For more information, please contact Health New England Provider Relations at (413) 233-3313 or (800) […]
Posted on December 30, 2015
We would like to inform you that Health New England recently experienced issues with our Medicare Advantage member ID cards. As a result, the ID cards were printed and mailed to members with incomplete member ID numbers. They were missing the suffix number “01.” The error has been corrected and new ID cards have been […]