ICD-10 Information and Appointment Access Standards
Posted on March 17, 2015
Please click on the link below to view a recent mailing that went out to the network. ICD10 and Appointment Standards Cover Letter_2015
ProviderMatters
Attention Medicare Advantage Providers
Posted on March 3, 2015
Health New England (HRA) Health Risk Assessment Announcement Please be informed that Health New England will be discontinuing the Health Risk Assessment pilot program due to lack of provider engagement. At this time, HNE will put into place a 90 day submittal period taking effect as of March 3, 2015 – May 29, 2015. This […]
HNE Formulary Change Effective 2/11/15
Posted on February 13, 2015
Effective 2/11/15, Viekira Pak will be HNE’s preferred product option for patients with genotype 1 hepatitis C virus. Harvoni will be excluded from the formulary, unless medically necessary. HNE will continue to require prior authorization for coverage for treatment for Hepatitis C for all patients. HNE will continue to cover Solvaldi and Olysio only when […]
Attention Be Healthy Primary Care Physicians: Are you Interested in Free CME Credits?
Posted on January 30, 2015
If you are interested in free CME credits, MBHP, our behavioral health delegate for our Be Healthy line of business is sponsoring a free discussion series on behavioral health issues in the Primary Care setting. Please see below: Doc 2 Doc Dial-in Discussion Series: Addressing Substance Use Disorders in Primary Care The Doc 2 Doc […]
HNE Connector Plans
Posted on January 30, 2015
It has come to our attention that there may be confusion in Provider offices regarding what type of plans HNE is offering through the Connector, based on language on their ID cards (an example is below). The ID cards state “Massachusetts Health Connector” on the upper right hand corner but that does not mean […]
Reminder to Be Healthy Providers
Posted on December 31, 2014
This is a reminder to all physicians that have been receiving enhanced rates under ACA Section 1202: these enhanced rates expire effective 12/31/14. Please note that for dates of service January 1, 2015 and forward, payment will be made reflecting the unenhanced, contracted physician rates. If you have any questions, please contact Provider Relations at 1.800.842.4464 […]
Annual Provider Notification
Posted on December 16, 2014
Please click on the below link to view an updated version of a recent mailing that went out to our Provider Network regarding where to find information regarding HNE’s Care Managment Program, Medical Guidelines and Policies, our Quality Management Program and Members Rights and Responsibilities. NCQA_Provider_Notice_Update
Important Reminder: Code of Conduct and Annual Training
Posted on December 12, 2014
Code of Conduct It is Health New England’s (“HNE”) policy to conduct its business in compliance with all applicable federal and state laws and regulations and to assure that HNE operates in a manner consistent with the letter and the spirit of the laws. HNE expects its employees, management, governing body members and first tier, […]
Important message to Health New England (HNE) Be Healthy Providers:
Posted on December 1, 2014
This message is to remind you that HNE will honor any approved, existing Prior Authorizations for care for members reassigned to HNE Be Healthy, as long as the authorization is for a covered benefit. This notification applies to the medical necessity approvals. Any previously negotiated contractual agreements will not apply. HNE will reimburse at Massachusetts […]
Important message to Health New England (HNE) Be Healthy Providers
Posted on December 1, 2014
This message is to remind you that HNE will honor any approved, existing Prior Authorizations for care for members reassigned to HNE Be Healthy, as long as the authorization is for a covered benefit. This notification applies to the medical necessity approvals. Any previously negotiated contractual agreements will not apply. HNE will reimburse at Massachusetts […]