Posted on October 8, 2013
Are you ready for ICD-10? To assist providers meet the ICD-10 compliance deadline of October 1, 2014,Massachusettshealth plans and MassHealth are conducting the third annual ICD-10 provider progress survey. The survey will assess statewide compliance efforts underway and will be used to develop education strategies, training materials, and identify resources to aide providers in their […]
Posted on October 1, 2013
Please be advised that the 7:30 a.m. session has been cancelled. The 12:00 p.m. session will still take place. If you have any questions, feel free to contact Mary Humel directly at 800.842.4464, extension 3401 or email mhumel@hne.com.
Posted on August 5, 2013
As your business partner, HNE is committed to providing you with the tools and information you need to deliver high quality care to our members. As part of this commitment, we are pleased to announce that we are now posting our Payment Policies in the Provider Section of HNE.com. The section will incorporate both new […]
Posted on July 9, 2013
Please note that this change only applies to Commercial and Medicaid plans Health New England is changing specialty pharmacy providers from ICORE Healthcare to BriovaRX who is located in Avon Ma. Effective September 3, 2013, BriovaRX will be HNE’s preferred specialty pharmacy provider for our Commercial (FF/SF) and Medicaid population. Reason for change…..the change […]
Posted on July 9, 2013
Please click on the link below to read a recent mailing sent to all providers regarding our enhancement to the Negative Balance Report: Negative Balance Report
Posted on June 19, 2013
MassHealth is in the process of determining the implementation process for managed care providers regarding Medicaid rates directed by Section 1202 of the federal Affordable Care Act. This applies only for certain primary care services delivered by eligible providers. Once HNE receives that information, we will process claims at the required rates. HNE will communicate additional details of […]
Posted on May 8, 2013
HNE Criteria for Benefit Decisions are available via HNE.com or by calling Member Services at 787-4004 or 800-310-2835. To view HNE-developed clinical criteria click here: http://hne.com/HNE_Providers/Policies.html
Posted on May 7, 2013
Please note that HNE recently reviewed its Clinical Care Guidelines for Depression. There were no changes made during this review. These guidelines are available on hne.com. Please click on the link to view the guidelines: http://hne.com/Health/MHQP/index.html
Posted on April 3, 2013
As of January 1, 2013, HNE now offers both Medicare Advantage and Medicare Supplement plans. Today, HNE offers Medicare Advantage plans in Hampden, Hampshire, Franklin and Berkshire Counties. HNE has approximately 8,000 Medicare Advantage members. HNE is the only 5-Star Rated health plan in Massachusetts, two years running! With a 5-Star rating, Medicare beneficiaries who […]
Posted on February 27, 2013
Attached is a copy of of the recent mailing regarding the new Behavioral Health CPT codes for 2013. Provider information on changes to behavioral health codes V3