Category Archives: Notice of Policy Changes

Medical Policy Updates – Effective 9/1/2016

Posted on July 5, 2016

We have recently updated several Health New England medical policies that will become effective on 9/1/16: Clinical Trial for Medicare Advantage Members Clinical Review Criteria related to: Behavioral Health Day Treatment Behavioral Health Repetitive Transcranial Magnetic Stimulation Continuous Glucose Monitoring Genetic Testing Implantable Miniature Ocular Telescope Laser-Assisted Uvulopalatoplasty or Uvulopalatopharyngoplasty Mobi-C Artificial Cervical Disc Rhinoplasty […]

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New Format for Medical Inpatient Authorizations

Posted on October 26, 2015

Please note that effective Tuesday, October 27th, there will be a new format to the medical inpatient authorization numbers. The format will go from a numeric 9 digit authorization number to a 12 digit alpha-numeric authorization number. The number will start with “MD” followed by the year/month/day, followed by 4 digits. (Example: MD1510270001). If you […]

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Semi-Annual Notice of Benefit Changes and Chronic Care Management for Non-Face to Face Coordination Payment Policy now on line

Posted on April 29, 2015

Please note that there was a recent network-wide mailing advising providers that there will be some fully funded member benefit changes and a new payment policy effective 7/1/2015. Please click on the links below for more information: ff-0715-Semi_Annual_Notice_of_Change Chronic Care Management Payment Policy Please contact Provider Relations at 413.233.3313 or 800.842.4464, extension 5000 if you […]

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Attention Medicaid Behavioral Health Providers

Posted on December 1, 2014

With the impact of new Medicaid members joining HNE Be Healthy, we understand that you may have questions about how to become credentialed with MBHP, our vendor for the behavioral health benefits for these members. The process is outlined below. In order to become credentialed with MBHP, behavioral health providers are being asked to send […]

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