ProviderMatters

Payment Policy Updates (September 2026)

Posted on August 26, 2026

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.

If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.

The following payment policies have been updated:

 

Payment Policy Updates Effective Date Notes
Allergy Testing
(PP051POL) – REVIEWED		 November 2026
  • All Lines of Business
  • Annual Review – Aligned language with regards to the limitations of units paid, strengthening the policy
Routine Supplies and Equipment (PP046POL) – REVIEWED November 2026
  • Commercial and Medicare Only
  • Annual Review – Aligned Industry HCPCS codes to strengthen the policy
Discard Drugs and Biologicals (PP016POL) – REVIEWED September 2026
  • All Lines of Business
  • Annual Review – Aligned language to strengthen the policy
Emergency Department Services (PP038POL) – REVIEWED September 2026
  • All Lines of Business
  • Annual Review – Aligned language to strengthen the policy
Hospice Services
(PP018POL) – REVIEWED		 September 2026
  • All Lines of Business
  • Annual Review – Aligned language to strengthen the policy
Long-Term Acute Care
(PP050POL) – REVIEWED		 September 2026
  • All Lines of Business
  • Annual Review – Aligned language to strengthen the policy
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Categories: Provider Newsletter

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