ProviderMatters

Payment Policy Updates (April 2026)

Posted on March 31, 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 policies were reviewed and updated:

Updates  Effective Date Notes
Payment Policy  
Anesthesia Services 04/01/2026
  • All lines of business
  • Annual Review
  • Additional language for pain management services added

 
Drug Testing 04/01/2026
  • Annual Review
  • Aligned language for clearer coding requirements
Outpatient Rehabilitative 04/01/2026
  • Annual Review
  • No changes
Skilled Home Health 04/01/2026
  • Annual Review
  • Additional limitations added
Telehealth Services 04/01/2026
  • Annual Review
  • Updated distant site requirements
Timely Filing Limit 04/01/2026
  • Annual Review
  • Aligned language for COB Medicare
Treatment Room 04/01/2026
  • Annual Review
  • Aligned language for Revenue Code 0761
Urgent, Extended Care & Walk-In Care 04/01/2026
  • Annual Review
  • Aligned language for credentialing
Inpatient Hospital Services 06/01/2026
  • Annual Review
  • Changed language requirement for Medicare 3-day payment
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Categories: Provider Newsletter

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