Posted on June 5, 2023
Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org/Providers/Resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn more. The following policies were reviewed with no substantial changes and were moved into our new template. Dental Anesthesia – New policy to document the procedure that Health New […]
Posted on June 5, 2023
Health New England reviews our formulary and makes necessary changes. Health New England’s formularies are located at healthnewengland.org. At the top of the page, use the “Find A Drug” tool. For more information, please do not hesitate to call your Provider Relations Representative at (800) 842-4464, extension 5000, or send an email to providerrelations@hne.com.
Posted on May 2, 2023
Health New England periodically reviews their online site to ensure the resources provided are accurate and up-to-date. With that stated, the following adjustments were made on https://healthnewengland.org/Providers/Resources. Care Management Solutions (eviCore): We added a grid to help clarify the prior authorization time span from approval to rendering the services. Durable Medical Equipment (DME): We added […]
Posted on May 2, 2023
As communicated in January 2023, Health New England shared with our network that we will cover abortions and abortion-related services in accordance with the Division of Insurance. http://hnetalk.com/provider/division-of-insurance-notifications-1-23/ With the recent Bulletin 2023-10 – Executive Order No. 609 – Protecting Access to Medication Abortion Services in the Commonwealth, released April 14, 2023, Health New England […]
Posted on May 2, 2023
Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org/Providers/Resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn more. *Please note, new/revised policies may not appear until closer to the effective date. Below is a list of codes reviewed and determined to fall within our Non-Covered, Experimental […]
Posted on March 29, 2023
Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. The following policy was reviewed and updated: Evaluation and Management Professional Services – The policy was updated to align with […]
Posted on March 29, 2023
Health New England reviews our provider manual regularly and notifies you when there are updates. Most recently, we updated the Reimbursement and Claim Submission section, as well as the HNE BeHealthy Addendum. Go to https://healthnewengland.org/provider-manual to learn more. In the Billing and Reimbursement section, http://healthnewengland.org/providers/provider-manual/billing-reimbursement, under Reimbursement and Claims Submission, we added clarification on the […]
Posted on March 29, 2023
Attention Providers and Practice Managers: Accurate provider directories are critical to helping our members make educated decisions about their plan choices. Health New England offers an online directory for all products, and hard copies of each directory are available upon request. In an effort to support the Centers for Medicare & Medicaid Services (CMS), MassHealth, […]
Posted on March 29, 2023
Health New England’s formularies are located at healthnewengland.org. At the top of the page, use the “Find A Drug” tool.
Posted on March 29, 2023
On a regular basis, Health New England reviews our clinical criteria for our Behavioral Health and Medical policies, as well as the criteria for the drugs included in our formulary. This notification outlines changes to those policies recently reviewed. Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org/Providers/Resources. Once on […]