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 Medicaid rates for all out-of-network services.
The process for honoring pre-existing Prior Authorizations for care is as follows:
Please fax the Standard Prior Authorization Form, along with a copy of the approval letter issued by the prior Managed Care Organization (MCO), to 413.233.2700. Health Services representatives are available to assist you Monday through Friday, between the hours of 8:00 a.m. and 5:00 p.m., at 413.787.4000 x 5027.
Does this apply to behavioral health services for MBHP for services authorized by another carrier?
Thanks!
Hi Peter-it applies to any of re-assigned BMC Healthnet members who had existing authorizations in place. That is for medical and for behavioral health. Let me know if you have any further questions. My direct email is mhumel@hne.com
Mary